Provider Demographics
NPI:1699194944
Name:ESQUILLA, JUJI TEJARES (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:JUJI
Middle Name:TEJARES
Last Name:ESQUILLA
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9145 NARCOOSSEE RD STE A200
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-5768
Mailing Address - Country:US
Mailing Address - Phone:407-412-5030
Mailing Address - Fax:407-601-7946
Practice Address - Street 1:9145 NARCOOSSEE RD STE A200
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-5768
Practice Address - Country:US
Practice Address - Phone:407-412-5030
Practice Address - Fax:407-601-7946
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9205665363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily