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

Jacqueline Brandt

Individual provider Critical Care Medicine Nurse Practitioner · NPI 1578222832

Jacqueline Brandt is a Nurse Practitioner in Tampa, Florida. Qualified in 2021, 5 years ago. Practices with H Lee Moffitt Cancer Ctr and Res Inst Life Time Cancer Scrn Ctr Inc, a 1,135-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone: (407) 303-7283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Tampa General Cir, Tampa, FL 33606-3571 — (813) 844-7000
  • 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 — (813) 745-7365

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11017680 (FL)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence APRN11017680 (FL)

Record details

NPI number1578222832
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 14, 2021
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing address3100 E Fletcher Ave, Tampa, FL 33613-4613

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc — 1135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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