Longacre, Vanessa V

Longacre, Vanessa V is an individual health care provider with primary practice located at 1660 Prudential Dr Ste 400 , Jacksonville FL 32207-8188. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Longacre, Vanessa V can be contacted via phone (904) 396-0000.

Contact Information

Primary practice address
1660 Prudential Dr Ste 400 Jacksonville FL 32207-8188
Phone: (904) 396-0000
Fax: (904) 390-7500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000901A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3005988 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9493697 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9493697 Florida

Profile Details

NPI number 1841262011
LBN Legal business name Longacre, Vanessa V
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Mar 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841262011 NPPES
Indiana MEDICAID 200293480

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