Individual
MRS. JANNELLE VICENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
14448 SW 15TH ST, MIAMI, FL 33184-3270
(305) 968-5763
Mailing address
14448 SW 15TH ST, MIAMI, FL 33184-3270
(305) 968-5763
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9394363
FL
363LF0000X
Family Nurse Practitioner
APRN9394363
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
689346
RN LICENSE
NY
01
—
ARNP9394363
ARNP
FL
Enumeration date
02/24/2015
Last updated
10/11/2024
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