Provider Demographics
NPI:1326844994
Name:VINDICI, JACQUELINE TAYLOR (APN)
Entity type:Individual
Prefix:MISS
First Name:JACQUELINE
Middle Name:TAYLOR
Last Name:VINDICI
Suffix:
Gender:
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 NEWELL DR
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2510
Mailing Address - Country:US
Mailing Address - Phone:908-421-2885
Mailing Address - Fax:
Practice Address - Street 1:52 NEWELL DR
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-2510
Practice Address - Country:US
Practice Address - Phone:908-421-2885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15283600363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily