Mcdonald, Roxanna A
Mcdonald, Roxanna A is an individual health care provider with primary practice located at 1947 Morningside St , Jacksonville FL 32205-9390. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Mcdonald, Roxanna A can be contacted via phone (904) 402-9111.Contact Information
Primary practice address
1947 Morningside St
Jacksonville FL 32205-9390
Phone: (904) 402-9111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | ARNP 2808122 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP2808122 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | ARNP 2808122 | Florida |
Profile Details
| NPI number | 1114972841 |
|---|---|
| LBN Legal business name | Mcdonald, Roxanna A |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Aug 26th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114972841 | NPPES |
| Florida | MEDICAID | 305270200 | |
| Florida | Other | 188514 | |
| Florida | Other | 500030444 | |
| Florida | Other | 2061018 | |
| Florida | Other | Y7859 |
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