Healthcare Provider Details

I. General information

NPI: 1396518577
Provider Name (Legal Business Name): KATHERINE MARGARET DORSEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE MARGARET DUBA DNP, FNP-C, APRN

II. Dates (important events)

Enumeration Date: 10/31/2023
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1577 ROBERTS DR STE 323
JACKSONVILLE BEACH FL
32250-3266
US

IV. Provider business mailing address

409 N HARBOR LIGHTS DR
PONTE VEDRA FL
32081-5005
US

V. Phone/Fax

Practice location:
  • Phone: 904-241-9775
  • Fax:
Mailing address:
  • Phone: 904-415-0203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPRN11042266
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: