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

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

Practice location Address checks out

3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone: (407) 303-7283
Show map & directions

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

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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