Healthcare Provider Details

I. General information

NPI: 1255041950
Provider Name (Legal Business Name): HEATHER APLING ROWELL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2022
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14011 BEACH BLVD STE 120
JACKSONVILLE FL
32250-1695
US

IV. Provider business mailing address

705 WELLS RD STE 300
ORANGE PARK FL
32073-2982
US

V. Phone/Fax

Practice location:
  • Phone: 904-223-6400
  • Fax: 904-223-6420
Mailing address:
  • Phone: 49-282-6331
  • Fax: 904-866-4818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number11023226
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11023226
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: