Active NPI 1245930502 Individual Practitioner Female Practitioner

Eileen P Fuentes , APRN

Nurse Practitioner - Pediatrics • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Eileen Fuentes, APRN is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Jacksonville, FL. Practice services are available at 807 CHILDRENS WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

807 Childrens Way

Jacksonville, FL 322078426

Telephone 9046973600

Fax 9046873927

Associated Practice Facility / Clinic

🏢 The Nemours Foundation Facility NPI 1265585806

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Jacksonville, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.7 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

102 Specialists

Practicing in Jacksonville, FL (1565 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-02

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License FL 11024537

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License GA NP001351

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Jacqueline Noe

Physician Assistant

NPI 1013000488

Kelly Summers , ARNP

Nurse Practitioner

NPI 1023531043

Advanced Registered Nurse Practitioner

Caitlin Thomas , APRN

Nurse Practitioner - Pediatrics

NPI 1023820255

Advanced Practice Registered Nurse

Kara Blackmer , RD, PA-C

Physician Assistant

NPI 1053792754

Registered Dietitian, Physician Assistant (Certified)

Dr. Scott Davis , MD

Radiology - Diagnostic Radiology

NPI 1063654531

Doctor of Medicine (M.D.)

Dr. Amy Burns , MD

Anesthesiology

NPI 1073617544

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Business Mailing Address November 02, 2025

Registered at 841 PRUDENTIAL DR STE 280, JACKSONVILLE, FL 322078350 (Tel: 9046974100)

📍

Updated Practice Location August 28, 2025

Registered at 807 CHILDRENS WAY, JACKSONVILLE, FL 322078426 (Tel: 9046973600)

📍

Updated Business Mailing Address August 28, 2025

Registered at 10140 CENTURION PKWY N, JACKSONVILLE, FL 322560532 (Tel: 9046974100)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2025

Nurse Practitioner (License #NP001351 in GA)

📍

Updated Practice Location November 11, 2024

Registered at 841 PRUDENTIAL DR STE 280, JACKSONVILLE, FL 322078350 (Tel: 9042028550)

📍

Updated Business Mailing Address November 11, 2024

Registered at PO BOX 746645, ATLANTA, GA 303746645 (Tel: 9042022092)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2024

Nurse Practitioner (License #APRN11024537 in FL)

✅

NPI Profile Active March 06, 2023

NPI status registered as active in NPPES database

📍

Updated Practice Location March 06, 2023

Registered at 807 CHILDRENS WAY, JACKSONVILLE, FL 322078426 (Tel: 9046973600)

📍

Updated Business Mailing Address March 06, 2023

Registered at 1702 RUSTLING DR, FLEMING ISLAND, FL 320038634

👤

Provider Name / Credentials Updated March 06, 2023

Recorded as EILEEN FUENTES, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2023

Nurse Practitioner (License #11024537 in FL)

🟢

Initial NPI Registration & Enumeration March 06, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245930502

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 06, 2023

Last Update: November 02, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

841 Prudential Dr Ste 280

Jacksonville, FL 322078350

Phone: 9046974100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.