Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacquelin Vincent

Individual provider Medical Physician Assistant · NPI 1851743504

Jacquelin Vincent is a Medical Physician Assistant in Orlando, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona and Florida.

Licensed in
AZ, FL
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1307 Crane Crest Way
Orlando, FL 32825-4419
Phone: (407) 241-9971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18404 N Tatum Blvd Ste 101, Phoenix, AZ 85032-1511 — (407) 241-9971

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PACN96 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 10098 (AZ)

Record details

NPI number1851743504
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 6, 2016
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address9919 Cypress Knee Cir, Orlando, FL 32825-9107

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