Petty, Rolanda Denise

Petty, Rolanda Denise is an individual health care provider with primary practice located at 4427 Emerson St Ste 4 , Jacksonville FL 32207-4960. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Petty, Rolanda Denise can be contacted via phone (904) 398-7015.

Contact Information

Primary practice address
4427 Emerson St Ste 4 Jacksonville FL 32207-4960
Phone: (904) 398-7015
Fax: (904) 346-0837
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1861970089
LBN Legal business name Petty, Rolanda Denise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2018
Last updated Jul 31st, 2018 - about 8 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.

Request for update

Popular Providers