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General NPI Number Information
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NPI Number | 1790031904
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Entity Type | Individual
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Provider Name | CRYSTAL VELIKY JONES FNP
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Gender | Female
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 2080 CHILD ST
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City | JACKSONVILLE
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State | FL
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Zip | 32214-5767
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Country | US
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Telephone | 904-542-7276
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Fax | 904-542-7913
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Provider Business Mailing Address
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Address Line | 338 SAWYER BRIDGE TRL
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City | PONTE VEDRA
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State | FL
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Zip | 32081-1232
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Country | US
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Telephone | 434-594-6194
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Fax |
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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 | 11012298
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License Number State | FL
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