Healthcare Provider Details

I. General information

NPI: 1952282170
Provider Name (Legal Business Name): ROXINE HEPBURN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2025
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 NW FEDERAL HWY
STUART FL
34994-9629
US

IV. Provider business mailing address

4300 LAKE LUCERNE CIR
WEST PALM BEACH FL
33409-7882
US

V. Phone/Fax

Practice location:
  • Phone: 772-480-5860
  • Fax:
Mailing address:
  • Phone: 772-480-5860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number11042087
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: