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1962425546 NPI number — LESLIE DAWN ROSENBERG APRN

NPI Number: 1962425546
Health Care Provider/Practitioner: LESLIE DAWN ROSENBERG APRN

Information about “1962425546” NPI (LESLIE DAWN ROSENBERG APRN) exists in 1962425546 in HTML format HTML  |  1962425546 in plain Text format TXT  |  1962425546 in PDF (Portable Document Format) PDF  |  1962425546 in an XML format XML  formats.

NPI Number : 1962425546 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962425546",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROSENBERG",
    "FirstName": "LESLIE",
    "MiddleName": "DAWN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "280 CHILD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32214-0001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-270-4280",
    "MailingAddressFaxNumber": "904-270-4456",
    "FirstLinePracticeLocationAddress": "2104 MASSEY AVE.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32228",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-270-4280",
    "PracticeLocationAddressFaxNumber": "904-270-4456",
    "EnumerationDate": "07/25/2006",
    "LastUpdateDate": "04/25/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "ARNP3004482",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "3004480",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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