Individual provider · Type 1 NPI
Jenelle C. Longo, APRN
Nurse Practitioner · Jacksonville, FL
Practice location
14534 Old Saint Augustine Rd Ste 3210
Jacksonville, FL 32258-2645
Fax (904) 675-4007
Mailing address
11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627
Other practice locations
- 5191 First Coast Tech Pkwy # 3, Jacksonville, FL 32224-0609 · (904) 675-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN9413215 (FL) |
| Family Nurse Practitioner | 363LF0000X | F339731-1 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1508241506
Jenelle C. Longo, APRN's National Provider Identifier is 1508241506, issued on Jul 21, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 8, 2026.