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JEFF JACQMEIN MD,PA
NPI 1306147590
Family Medicine in Jacksonville, FL

Active since November 04, 2010
3872 SAN JOSE PARK DR, JACKSONVILLE, FL 32217(904) 731-0304(904) 732-2251 Get Directions Write a Review

NPPES record last updated: November 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeff Jacqmein Md,pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFF JACQMEIN MD,PA (NPI 1306147590) is a healthcare organization registered as a family medicine in Jacksonville, Florida and active in the NPI registry since November 2010. The organization lists Judy Anne Nickels, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1306147590
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJEFF JACQMEIN MD,PA
Location Address3872 SAN JOSE PARK DRJacksonville, FL 32217-4613
Mailing Address3872 San Jose Park DrJacksonville, FL 32217-4613 · (904) 731-0304 · Fax (904) 732-2251
Phone(904) 731-0304
Fax(904) 732-2251
Organization SubpartNo
Authorized OfficialJudy Anne NickelsOffice Manager · (904) 731-0304
Enumeration DateNovember 4, 2010
Last NPPES UpdateNovember 8, 2010
✔ NPI 1306147590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME71303
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3872 SAN JOSE PARK DR, Jacksonville, FL 32217
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Other Identifiers 2

Medicare UPING64835FL
Medicare PIN42537FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ESKEN
Behavior Technician
3872 SAN JOSE PARK DR
JACKSONVILLE, FL 32217
Duval County (888) 963-2228
VALERIE GRACE TORRES DE LARA M.D.
Pediatrics
3872 SAN JOSE PARK DR
JACKSONVILLE, FL 32217
Duval County (904) 773-4330
KAREN J MICHEL
Behavior Technician
3872 SAN JOSE PARK DR
JACKSONVILLE, FL 32217
Duval County (888) 963-2228
MARIA JOSE GUTIERREZ BASTIDAS
Behavior Technician
3872 SAN JOSE PARK DR
JACKSONVILLE, FL 32217
Duval County (888) 963-2228
NORTH FLORIDA PEDIATRICS PA
Pediatrics
3872 SAN JOSE PARK DR
JACKSONVILLE, FL 32217
Duval County (904) 773-4380
MRS. THERESA PYE ARNP
Nurse Practitioner (Family)
3872 SAN JOSE PARK DR
JACKSONVILLE, FL 32217
Duval County (904) 482-0313
MRS. LORIE R CARTER ARNP
Nurse Practitioner (Family)
3872 SAN JOSE PARK DR
JACKSONVILLE, FL 32217
Duval County (904) 731-0304
PAYTON J FRANKLIN
Behavior Technician
3872 SAN JOSE PARK DR
JACKSONVILLE, FL 32217
Duval County (706) 940-0920

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeff Jacqmein Md,pa's NPI number?

The NPI number for Jeff Jacqmein Md,pa is 1306147590. It was assigned to this organization in the NPPES registry on November 4, 2010.

Where is Jeff Jacqmein Md,pa located?

Jeff Jacqmein Md,pa is located at 3872 San Jose Park Dr, Jacksonville, FL 32217. The listed phone number is (904) 731-0304.

What is Jeff Jacqmein Md,pa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jeff Jacqmein Md,pa was last updated on November 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.