Haydelin Pellicier Mendoza

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9531690 Issued in FL

Practice address

416 Glynlea Rd
Jacksonville, FL 32216-9022

Phone

(786) 624-7569

NPI assigned

Nov 11, 2025

Sex

Female

Sole proprietor

Yes

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": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1508736844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 GLYNLEA RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322169022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 GLYNLEA RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322169022",
            "telephone_number": "786-624-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLICIER MENDOZA",
        "first_name": "HAYDELIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9531690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Pelkowski, ARNP
• Lisa Phillips Pella, ARNP
• Pablo Martin Pella, MD
• Fiorina Pellegrino, D.O.
• Michala Dawn Pelletier, CRNA
• Katherine Pelts, M.D.
• Nikomi Lynne Peltz
• Pelvic Performance LLC
• Brianna Pemberton
• Marvin Gene Pemberton Jr.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.