Individual
JENNIFER VANDA O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
841 PRUDENTIAL DR STE 280, JACKSONVILLE, FL 32207-8350
(904) 202-8290
(904) 393-7808
Mailing address
10140 CENTURION PKWY N, JACKSONVILLE, FL 32256-0532
(904) 697-4100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22 629523
NY
163W00000X
Registered Nurse
RN95029308
CA
363L00000X
Nurse Practitioner
APRN11007871
FL
363LP0200X
Pediatric Nurse Practitioner
382286
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11007871
FL
363LP0200X
Pediatric Nurse Practitioner
NP95000587
CA
Other
Enumeration date
08/08/2010
Last updated
12/21/2023
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