Provider Demographics
NPI:1548738974
Name:VINCENT, JOCELYN ELISE (ARNP)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:ELISE
Last Name:VINCENT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31023 WRENCREST DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-7890
Mailing Address - Country:US
Mailing Address - Phone:904-705-7466
Mailing Address - Fax:
Practice Address - Street 1:14007 N ACCESS RD
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34428-6764
Practice Address - Country:US
Practice Address - Phone:352-364-8821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-03
Last Update Date:2018-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9295043363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health