Individual
FABIOLA B MARCELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6820 SAINT AUGUSTINE RD STE A, JACKSONVILLE, FL 32217-2818
(904) 337-1268
(720) 600-0873
Mailing address
6820 SAINT AUGUSTINE RD STE A, JACKSONVILLE, FL 32217-2818
(904) 337-1268
(720) 600-0873
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024185117
VA
363LF0000X
Family Nurse Practitioner
11009926
FL
363LP2300X
Primary Care Nurse Practitioner
0024185117
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
11009926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108813900
—
FL
Enumeration date
08/29/2020
Last updated
02/12/2026
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