Provider Demographics
NPI:1922245919
Name:NESTOR, GENEVIEVE (APRN)
Entity Type:Individual
Prefix:MS
First Name:GENEVIEVE
Middle Name:
Last Name:NESTOR
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:GENEVIEVE
Other - Middle Name:
Other - Last Name:NESTOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:7038 ALANA RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211-4183
Mailing Address - Country:US
Mailing Address - Phone:904-662-2846
Mailing Address - Fax:
Practice Address - Street 1:7038 ALANA RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-4183
Practice Address - Country:US
Practice Address - Phone:904-318-1127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-13
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9287698163W00000X
FLAPRN9287698363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse