Healthcare Provider Details

I. General information

NPI: 1902766025
Provider Name (Legal Business Name): RHONDA LE'NAE MARSHALL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

5500 BLANDING BLVD
JACKSONVILLE FL
32244-1946
US

IV. Provider business mailing address

5500 BLANDING BLVD
JACKSONVILLE FL
32244-1946
US

V. Phone/Fax

Practice location:
  • Phone: 904-379-2540
  • Fax: 904-379-2541
Mailing address:
  • Phone: 904-379-2540
  • Fax: 904-379-2541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11043147
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: