JACQUELINE VANITA BOODHOO APRN NPI 1376707562

NPI Information

NPI: 1376707562
Provider Name: JACQUELINE VANITA BOODHOO, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: FLORIDA HOSPITAL MEDICAL GROUP INC

PECOS Registration: Yes

Address:
661 E ALTAMONTE DR STE 220
ALTAMONTE SPRINGS, FL
ZIP 32701
Phone: (407) 303-5191
Get Directions

Jacqueline Vanita Boodhoo, APRN is an adult health nurse practitioner in Altamonte Springs, FL with 17 years of experience. Jacqueline Vanita Boodhoo, APRN NPI is 1376707562. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

661 E ALTAMONTE DR STE 220
ALTAMONTE SPRINGS, FL
ZIP 32701-102
Phone: (407) 303-5191
Fax: (407) 303-5193

The NPI 1376707562 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/16/2008 and was last updated on 10/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		645901	CALIFORNIA	No
2	163WG0100X	Registered Nurse	Gastroenterology	RN221717	GEORGIA	No
3	363L00000X	Nurse Practitioner		17544	CALIFORNIA	No
4	363LA2200X	Nurse Practitioner	Adult Health	RN221717	GEORGIA	No
5	363LA2200X	Nurse Practitioner	Adult Health	APRN11013211	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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