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General NPI Number Information
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NPI Number | 1699277913
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Entity Type | Individual
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Provider Name | VIVECA DANNETTE YANCEY MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/02/2018
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 6035 FORT CAROLINE RD STE 20-1011
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City | JACKSONVILLE
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State | FL
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Zip | 32277-1807
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Country | US
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Telephone | 904-478-9604
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Fax | 904-295-0660
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Provider Business Mailing Address
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Address Line | 6035 FORT CAROLINE RD STE 20-1011
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City | JACKSONVILLE
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State | FL
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Zip | 32277-1807
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Country | US
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Telephone | 904-478-9604
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Fax | 904-295-0660
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN9239828
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN9239828
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License Number State | FL
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