Individual
DONKENSON L ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4801 WELDON SPRING PKWY, WELDON SPRING, MO 63304-9101
(636) 723-9306
Mailing address
2050 CIVIC CENTER PL, MIRAMAR, FL 33025-7803
(954) 665-0843
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11031626
FL
Other
Enumeration date
03/04/2024
Last updated
12/31/2025
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