Healthcare Provider Details

I. General information

NPI: 1811883382
Provider Name (Legal Business Name): MARCIA DIANE SCHEINER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 MCINTOSH AVE
ORANGE PARK FL
32073-4831
US

IV. Provider business mailing address

339 MCINTOSH AVE
ORANGE PARK FL
32073-4831
US

V. Phone/Fax

Practice location:
  • Phone: 904-213-8277
  • Fax: 904-213-8278
Mailing address:
  • Phone: 904-213-8277
  • Fax: 904-213-8278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11041728
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: