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NPI Code Detail

MEDICARE: KATHERINE MARGARET DORSEY RN

MEDICARE: KATHERINE MARGARET DORSEY RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LX0001XObstetrics & Gynecology Nurse PractitionerAPRN11042266FL

General Provider Information

NPI Number : 1396518577
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MARGARET DORSEY RN
Provider Business Mailing Address
First Line : 409 N HARBOR LIGHTS DR
Second Line :
City : PONTE VEDRA
State : FL
Zip : 32081-5005
Country : US
Telephone Number : 904-415-0203
Fax Number :
Provider Business Practice Location Address
First Line : 1577 ROBERTS DR STE 323
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-3266
Country : US
Telephone Number : 904-241-9775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2023
Last Update Date : 12/11/2025

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