Provider Demographics
NPI:1033091061
Name:WINGATE, JUCOEE EMONIE (CNA)
Entity type:Individual
Prefix:
First Name:JUCOEE
Middle Name:EMONIE
Last Name:WINGATE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3953 WINDY GALE DR S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-4427
Mailing Address - Country:US
Mailing Address - Phone:904-755-8785
Mailing Address - Fax:
Practice Address - Street 1:3953 WINDY GALE DR S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-4427
Practice Address - Country:US
Practice Address - Phone:904-755-8785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL385540372600000X, 374U00000X, 376K00000X
FL246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide