Mr. Jeffrey Ludan Vongjesda
Nurse Practitioner - Family Medicine
14888 Bartram Village Ln
Jacksonville
, Florida 32258-7700
Mr. Jeffrey Ludan Vongjesda
Nurse Practitioner - Family Medicine
14888 Bartram Village Ln
Jacksonville
, Florida 32258-7700
(919) 299-2092
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mr. Jeffrey Ludan Vongjesda
- 14888 Bartram Village Ln
- Jacksonville, FL
- Zip : 32258-7700
- Fax : (919) 299-2092
- Phone : (904) 887-8277
Second Address
- Mr. Jeffrey Ludan Vongjesda
- 14888 Bartram Village Ln
- Jacksonville, FL
- Zip : 32258-7700
- Phone : (904) 887-8277
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FAQs
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Where did Mr. Jeffrey Ludan Vongjesda do his fellowship?
Is Mr. Jeffrey Ludan Vongjesda board certified?
What type of doctor is Mr. Jeffrey Ludan Vongjesda
In what state does Mr. Jeffrey Ludan Vongjesda practice in?
Where is Mr. Jeffrey Ludan Vongjesda ’s practice located?
What is Mr. Jeffrey Ludan Vongjesda ’s gender?
Is Mr. Jeffrey Ludan Vongjesda a sole practitioner?
Is Mr. Jeffrey Ludan Vongjesda accepting new patients?
What languages does Mr. Jeffrey Ludan Vongjesda speak?
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Does Mr. Jeffrey Ludan Vongjesda offers telemedicine?
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Does Mr. Jeffrey Ludan Vongjesda have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 60962308 | WA |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 817161 | NV |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 95007934 | CA |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP 9278630 | FL |
National Provider Identifier
| NPI | 1003286824 |
|---|---|
| Provider Name | Mr. Jeffrey Ludan Vongjesda |
| First Address | Jacksonville, FL 32258-7700 |
| Second Address | Jacksonville, FL 32258-7700 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/10/2015 |
| Last Update Date | 11/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.