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Contact Information

CHANIECE VASQUEZ, FNP
807 CHILDRENS WAY
JACKSONVILLE, FL32207-8426
 Phone: 904-697-3600
 Fax: 904-687-3927
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHANIECE VASQUEZ · (Female)

NPI Number 1699570994
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 02/19/2025
Last updated 03/09/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • FL License # 11037794
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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