# MRS. JANNELLE VICENS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184016453
- **Gender:** F
- **Credential:** DNP, APRN, FNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | APRN9394363 | FL | Yes |
| 363LF0000X | Family Nurse Practitioner | APRN9394363 | FL | — |

## Other

- **Enumeration date:** 02/24/2015
- **Last updated:** 10/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 689346 | RN LICENSE | NY |
| 01 | — | ARNP9394363 | ARNP | FL |