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NPI Code Detail

MEDICARE: NATASHA ROACH FNP-C

MEDICARE:   NATASHA  ROACH  FNP-C
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
1363L00000XNurse PractitionerR274958MD

General Provider Information

NPI Number : 1487516712
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA ROACH FNP-C
Provider Business Mailing Address
First Line : 7751 BELFORT PKWY STE 120
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6921
Country : US
Telephone Number : 904-372-3943
Fax Number : 904-212-1618
Provider Business Practice Location Address
First Line : 500 UPPER CHESAPEAKE DR
Second Line :
City : BEL AIR
State : MD
Zip : 21014-4324
Country : US
Telephone Number : 904-372-3943
Fax Number : 904-212-1618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2025
Last Update Date : 01/09/2026

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Directions to “ NATASHA ROACH FNP-C” Practice Location

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