Eileen P. Fuentes, APRN

Pediatric Nurse Practitioner · Jacksonville, FL

Individual Active NPI

NPI number 1245930502

Practice location

807 Childrens Way
Jacksonville, FL 32207-8426
Phone
(904) 697-3600
Fax
(904) 687-3927

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NPI record

NPI
1245930502
Entity type
Individual (Type 1)
Enumeration date
March 6, 2023
Last updated
November 2, 2025
Certified
November 2, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Nurse Practitioner Primary 363LP0200X 11024537 FL
Pediatric Nurse Practitioner 363LP0200X NP001351 GA

Mailing address

841 Prudential Dr Ste 280
Jacksonville, FL 32207-8350
Phone
(904) 697-4100

About Eileen Fuentes

Eileen P. Fuentes, APRN is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Nurse Practitioner (code 363LP0200X). The practice location is 807 Childrens Way, Jacksonville, FL 32207-8426. The NPI number 1245930502 was assigned on March 6, 2023 and the record was last updated on November 2, 2025.

Eileen Fuentes lists 2 licenses in the registry: #11024537 (FL) for Pediatric Nurse Practitioner; #NP001351 (GA) for Pediatric Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eileen P. Fuentes, APRN?

The NPI number is 1245930502.

What is the phone number of Eileen Fuentes?

The phone number listed for the practice location is (904) 697-3600.

Where is Eileen Fuentes located?

807 Childrens Way, Jacksonville, FL 32207-8426.

What is the taxonomy code for Eileen Fuentes?

The primary taxonomy code is 363LP0200X – Pediatric Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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