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

Mr. Jackson E. Tillquist, ARNP

Individual provider Critical Care Medicine Registered Nurse · NPI 1720442940

Mr. Jackson E. Tillquist, ARNP is a Nurse Practitioner in Safety Harbor, Florida. Qualified in 2016, 10 years ago. Practices with Baycare Medical Group, Inc, a 1,530-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
Specialties on file
2
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Practice location Address checks out

1840 Mease Dr Ste 200
Safety Harbor, FL 34695-6602
Phone: (727) 724-8611
Fax: (727) 724-0425
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ARNP9258226 (FL)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 9258226 (FL)

Record details

NPI number1720442940
Entity typeIndividual (Type 1)
GenderMale
Credentials ARNP
Sole proprietorNo
NPI enumeratedApril 13, 2016
Last updated in NPPESOctober 14, 2016
Mailing addressPo Box 10744, Clearwater, FL 33757-8744

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Baycare Medical Group, Inc. — 1530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount