Individual
DONNA N RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3229 BEAR RUN BLVD BLDG A, ORANGE PARK, FL 32065-7334
(904) 529-2800
Mailing address
PO BOX 578, GREEN COVE SPRINGS, FL 32043-0578
(904) 529-2800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
ARNP0940262
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP0940262
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033644100
—
FL
Enumeration date
10/27/2006
Last updated
12/31/2012
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