DIANA DUDENKOVA LONGACRE APRN
NPI 1629532080
Nurse Practitioner - Family in Jacksonville, FL

Active since January 29, 2019
10915 BAYMEADOWS RD STE 104, JACKSONVILLE, FL 32256(904) 683-6924 Get Directions Write a Review

NPPES record last updated: January 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diana Dudenkova Longacre Aprn NPPES

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

DIANA DUDENKOVA LONGACRE APRN (NPI 1629532080) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11000344) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1629532080
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDIANA DUDENKOVA LONGACRECredential: APRN
Location Address10915 BAYMEADOWS RD STE 104Jacksonville, FL 32256-9131
Mailing Address10915 Baymeadows Rd Ste 104Jacksonville, FL 32256-9131 · (904) 683-6924
Sole ProprietorNo
Enumeration DateJanuary 29, 2019
NPI 1629532080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in FL · APRN11000344
10915 BAYMEADOWS RD STE 104, Jacksonville, FL 32256

Other Providers at the Same Location NPPES 2

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

Chiropractor
10915 BAYMEADOWS RD STE 104
JACKSONVILLE, FL 32256
Chiropractor
10915 BAYMEADOWS RD STE 104
JACKSONVILLE, FL 32256

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 Diana Longacre's NPI number?

The NPI number for Diana Longacre is 1629532080. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Where is Diana Longacre located?

Diana Longacre practices at 10915 Baymeadows Rd Ste 104, Jacksonville, FL 32256. The listed phone number is (904) 683-6924.

What is Diana Longacre's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Diana Longacre was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.