Provider Demographics
NPI:1063076420
Name:BILLINGSLEY, VANESSA ESTELA (MD)
Entity type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:ESTELA
Last Name:BILLINGSLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3951 NW 48TH TER STE 101
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-7229
Mailing Address - Country:US
Mailing Address - Phone:352-265-5230
Mailing Address - Fax:352-265-5231
Practice Address - Street 1:3951 NW 48TH TER STE 101
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-7229
Practice Address - Country:US
Practice Address - Phone:352-265-5230
Practice Address - Fax:352-265-5231
Is Sole Proprietor?:No
Enumeration Date:2019-04-30
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME154288207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine