Individual
MRS. LORI ANN ROLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3292 COUNTY ROAD 220, MIDDLEBURG, FL 32068-4357
(904) 291-5561
(904) 291-5659
Mailing address
1726 KINGSLEY AVE STE 2, ORANGE PARK, FL 32073-4411
(904) 278-5644
(904) 278-5659
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN 9262041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9262041
—
FL
Enumeration date
09/24/2009
Last updated
09/24/2009
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