Individual provider · Type 1 NPI

Jacqueline Vanita Boodhoo, APRN

Adult Health Nurse Practitioner · Orlando, FL

NPI number 1376707562 Active

Practice location

1717 S Orange Ave
Orlando, FL 32806-2944

Fax (321) 843-1753

Other practice locations

  • 661 E Altamonte Dr Ste 220, Altamonte Springs, FL 32701-5102 · (407) 303-5191

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XRN221717 (GA)
Adult Health Nurse Practitioner Primary 363LA2200XAPRN11013211 (FL)
Registered Nurse 163W00000X645901 (CA)
Gastroenterology Registered Nurse 163WG0100XRN221717 (GA)
Nurse Practitioner 363L00000X17544 (CA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1376707562

Jacqueline Vanita Boodhoo, APRN's National Provider Identifier is 1376707562, issued on Jul 16, 2008. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Orlando, FL. The record was last updated on Jan 26, 2024.