Vanessa V Longacre, APRN
Nurse Practitioner in Jacksonville, FL. Individual provider (NPI-1).
NPI number1841262011
StatusActive
Last updated in NPPESSep 30, 2024
Details
- NPI
- 1841262011
- Entity type
- Individual (NPI-1)
- Name
- Vanessa V Longacre
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2006
- Certification date
- Sep 30, 2024
- Last updated
- Sep 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN9493697 | FL | Yes |
| 363LF0000X | Nurse Practitioner, Family | 3005988 | KY | |
| 363LF0000X | Nurse Practitioner, Family | 71000901A | IN | |
| 363LF0000X | Nurse Practitioner, Family | APRN9493697 | FL |
Practice location
1660 Prudential Dr Ste 400Jacksonville, FL 32207-8188
Phone 904-396-0000 · Fax 904-390-7500
Mailing address
Po Box 746638Atlanta, GA 30374-6638
Phone 904-202-2092 · Fax 904-376-4075
Other practice locations
820 Prudential Dr Ste 304
Jacksonville, FL 32207
Jacksonville, FL 32207
Phone 904-202-3860 · Fax 904-202-3846
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