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General NPI Number Information
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NPI Number | 1114972841
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Entity Type | Individual
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Provider Name | ROXANNA A MCDONALD ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 08/26/2015
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Provider Practice Location Address
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Address Line | 1947 MORNINGSIDE ST
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City | JACKSONVILLE
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State | FL
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Zip | 32205-9390
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Country | US
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Telephone | 904-402-9111
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Fax |
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Provider Business Mailing Address
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Address Line | 1947 MORNINGSIDE ST
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City | JACKSONVILLE
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State | FL
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Zip | 32205-9390
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Country | US
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Telephone | 904-402-9111
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | ARNP 2808122
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP2808122
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | ARNP 2808122
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License Number State | FL
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