MRS. VICTORIA GODWIN UDONGWO (NPI# 1962820738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962820738 |
| Entity Type | Individual |
| Full Name | MRS. VICTORIA GODWIN UDONGWO |
| Credential | DNP, ARNP |
| Practice Address |
1215 Dunn Ave Jacksonville FL 32218-6330 |
| Mailing Address |
6520 Fort Caroline Rd Jacksonville FL 32277-2044 |
| Practice Telephone | 9047577998 |
| Practice Fax Number | 9046967462 |
| Mailing Telephone | 9047453618 |
| Mailing Fax Number | 9047224271 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9164937 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
ARNP9164937 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 011709500 | 05 |
| Street Address |
1215 DUNN AVE |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-6330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417922469 | Anthony Vaz | Specialist | 1215 Dunn Ave, Jacksonville, FL 32218-6330 | 2006-02-22 |
| 1255996625 | Renee Christine Aulisi | Registered Nurse | 1215 Dunn Ave, Jacksonville, FL 32218-6330 | 2019-05-01 |
| 1417435884 | Tameerah Mebane | Nurse Practitioner | 1215 Dunn Ave, Jacksonville, FL 32218-6330 | 2018-07-29 |
| 1629561451 | Otis Green IIi | Nurse Practitioner | 1215 Dunn Ave, Jacksonville, FL 32218-6330 | 2018-06-06 |
| 1174042212 | King David Mungin Sr. | Nurse Practitioner | 1215 Dunn Ave, Jacksonville, FL 32218-6330 | 2017-09-10 |
| 1811367618 | Heather Ledford | Nurse Practitioner | 1215 Dunn Ave, Suite 1, Jacksonville, FL 32218-6330 | 2015-10-06 |
| 1023424694 | Total Renal Care, Inc | Clinic/Center | 1215 Dunn Ave, Ste 8, Jacksonville, FL 32218-4897 | 2014-07-03 |
| 1801138391 | Denise Marie Ward | Nurse Practitioner | 1215 Dunn Ave, Suite1, Jacksonville, FL 32218-6330 | 2013-03-22 |
| 1093061723 | Gerardo Augusto Montanez Galvis | Nurse Practitioner | 1215 Dunn Ave, Suite 1, Jacksonville, FL 32218-6330 | 2012-07-31 |
| 1780964213 | Dearcy E. Vaughan | Pharmacist | 1215 Dunn Ave, Suite #2, Jacksonville, FL 32218-6330 | 2011-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293868 | Maria Fe Guboc Rufano-sulit | Nurse Practitioner | 3682 Summerlin Ln, Jacksonville, FL 32224-1650 | 2020-10-21 |
| 1346849502 | Caitlin Flott | Nurse Practitioner | 14589 Camberwell Ln S, Jacksonville, FL 32258-1708 | 2020-10-20 |
| 1972101137 | Amanda Brooke Mills | Nurse Practitioner | 8459 Oak Crossing Dr W, Jacksonville, FL 32244-6949 | 2020-10-10 |
| 1649877200 | Shalom Barile | Nurse Practitioner | 1377 Ingleside Ave, Jacksonville, FL 32205-7733 | 2020-10-07 |
| 1013524248 | Claudia Joseph | Nurse Practitioner | 3331 Net Ct, Jacksonville, FL 32277-2735 | 2020-10-01 |
| 1063029577 | Erica Francisca Andrade | Nurse Practitioner | 5475 Turkey Creek Rd, Jacksonville, FL 32244-8549 | 2020-09-29 |
| 1568078418 | Jennifer Ruth Woodard | Nurse Practitioner | 29 Trinity Way, Jacksonville, AL 36265-5813 | 2020-09-16 |
| 1013522309 | William David Michal | Nurse Practitioner | 4417 Chippewa Dr, Jacksonville, FL 32210-6006 | 2020-09-13 |
| 1063025906 | Fabiola Baptiste | Nurse Practitioner | 9143 Philips Hwy Ste 110, Jacksonville, FL 32256-1365 | 2020-08-29 |
| 1295348464 | Debi Cohen | Nurse Practitioner | 11266 Cloverhill Ct, Jacksonville, FL 32257-1438 | 2020-08-27 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
Please comment or provide details below to improve the information on MRS. VICTORIA GODWIN UDONGWO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.