Individual
DR. LESLIE DAWN ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2104 MASSEY AVE., JACKSONVILLE, FL 32228
(904) 270-4280
(904) 270-4456
Mailing address
280 CHILD ST, JACKSONVILLE, FL 32214-0001
(904) 270-4280
(904) 270-4456
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3004480
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
ARNP3004482
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
764133801
—
FL
Enumeration date
07/25/2006
Last updated
04/25/2025
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