Individual
ROXANNA A MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1947 MORNINGSIDE ST, JACKSONVILLE, FL 32205-9390
(904) 402-9111
Mailing address
1947 MORNINGSIDE ST, JACKSONVILLE, FL 32205-9390
(904) 402-9111
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
ARNP 2808122
FL
363LF0000X
Family Nurse Practitioner
ARNP2808122
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP 2808122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188514
HEALTHEASE
FL
01
—
2061018
FCA
FL
05
—
305270200
—
FL
01
—
500030444
MCR RR
FL
01
—
Y7859
BCBS FLORIDA
FL
Enumeration date
05/23/2006
Last updated
08/26/2015
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