MEDICARE: EMELYN VEITIA DNP

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	363L00000X	Nurse Practitioner	RN9524452	FL

General Provider Information

NPI Number	:	1467311050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMELYN VEITIA DNP

Provider Business Mailing Address
First Line	:	3338 LAWTON PL
Second Line	:
City	:	GREEN COVE SPRINGS
State	:	FL
Zip	:	32043-8267
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 VILLAGE SQUARE PKWY
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-6412
Country	:	US
Telephone Number	:	904-264-4405
Fax Number	:

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

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ EMELYN VEITIA DNP” Practice Location

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