Individual
JENNIFER FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2963
Mailing address
4301 EAGLE LANDING PKWY, ORANGE PARK, FL 32065-2637
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP9293604
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP9293604
FL
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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