Vongjesda, Jeffrey Ludan

Vongjesda, Jeffrey Ludan is an individual health care provider with primary practice located at 4565 Us Highway 17 Ste 106 , Fleming Island FL 32003-4822. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Vongjesda, Jeffrey Ludan can be contacted via phone (904) 269-4559.

Contact Information

Primary practice address
4565 Us Highway 17 Ste 106 Fleming Island FL 32003-4822
Phone: (904) 269-4559
Fax: (904) 269-4597
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 60962308 Washington
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APRN9278630 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9278630 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95007934 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 817161 Nevada

Profile Details

NPI number 1003286824
LBN Legal business name Vongjesda, Jeffrey Ludan
Credentials MS, ARNP, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2015
Last updated May 16th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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