Gina A. Kelly-Vasquez, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11018073 Issued in FL

Practice address

1 Unf Dr
Jacksonville, FL 32224-2645

Phone

(904) 620-1000

NPI assigned

Feb 21, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1003561747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13553 AQUILINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322243006",
            "telephone_number": "904-412-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNF DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242645",
            "telephone_number": "904-620-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY-VASQUEZ",
        "first_name": "GINA",
        "middle_name": "A.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Lynn Kelley
• Courtney Kelling, CRNA
• Eva M. Kellogg, ARNP
• Julie Amelia Kellogg, M.D.
• Whitney Kelly-Edwards, LCSW
• Alyssa Kelly
• Amanda Kyla Kelly, MED, BCBA
• Angela Kelly
• Brenda Charlene Kelly, P.T.
• Cameila Yonnique Kelly, PMHNP

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.