Individual
EILEEN P FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
807 CHILDRENS WAY, JACKSONVILLE, FL 32207-8426
(904) 697-3600
(904) 687-3927
Mailing address
841 PRUDENTIAL DR STE 280, JACKSONVILLE, FL 32207-8350
(904) 697-4100
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11024537
FL
363LP0200X
Pediatric Nurse Practitioner
NP001351
GA
Other
Enumeration date
03/06/2023
Last updated
11/02/2025
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