MEDICARE: MISS JACQUELINE TAYLOR VINDICI APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	26NJ15283600	NJ

General Provider Information

NPI Number	:	1326844994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JACQUELINE TAYLOR VINDICI APN

Provider Business Mailing Address
First Line	:	100 MADISON AVE
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6136
Country	:	US
Telephone Number	:	973-971-5334
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 MADISON AVE FL 2
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6136
Country	:	US
Telephone Number	:	973-971-7960
Fax Number	:	973-898-1640

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/24/2025
Last Update Date	:	01/05/2026

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