Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gabrielle McCollum

Individual provider Pediatric Nurse Practitioner · NPI 1689368441

Gabrielle McCollum is a Pediatric Nurse Practitioner in Lutz, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

21758 State Road 54
Lutz, FL 33549-6921
Phone: (813) 563-6070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Tampa General Cir, Tampa, FL 33606-3571 — (813) 821-8038

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 11025313 (FL)

Record details

NPI number1689368441
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 5, 2023
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing addressPo Box 917770, Orlando, FL 32891-0001

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