Most Relevant Information
Provider Data
| NPI Number: | 1003561747 |
| Provider Name: | GINA A. KELLY-VASQUEZ DNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11018073 |
Most Important Dates
| Enumeration Date: | 02/21/2022 |
| Last Updated: | 02/21/2022 |
Provider Practice Location
1 UNF DR
JACKSONVILLE
FL
322242645
Practice Location Phone/Fax
| Phone: | 9046201000 |
| Fax: |
Provider Mailing Location
13553 AQUILINE RD
JACKSONVILLE
FL
322243006
Provider Mailing Phone/Fax
| Phone: | 9044121069 |
| Fax: |