ROXANNA A MCDONALD


Address: 1947 Morningside St, Jacksonville, FL 32205-9390
Phone: 9044029111

ROXANNA A MCDONALD (NPI# 1114972841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114972841
Entity Type Individual
Full Name ROXANNA A MCDONALD
Other Name ROXANNA A MCDONALD-EBANKS
Credential ARNP
Practice Address 1947 Morningside St
Jacksonville
FL 32205-9390
Practice Telephone 9044029111
Mailing Telephone 9044029111
Enumeration Date 2006-05-23
Last Update Date 2015-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
ARNP 2808122 FL Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
ARNP2808122 FL Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
ARNP 2808122 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL BCBS FLORIDA Y7859 01
FL MCR RR 500030444 01
FL HEALTHEASE 188514 01
FL FCA 2061018 01
FL 305270200 05

Office Location

Street Address 1947 MORNINGSIDE ST
City JACKSONVILLE
State FL
Zip Code 32205-9390

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1871827279 April Marie Felton Nurse Practitioner 500 E. Adams Street, Bay Street Health Center, Jacksonville, FL 32205 2009-10-01
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1821628207 Latasha Wiley Nurse Practitioner 11698 Alexandra Dr, Jacksonville, FL 32218-8874 2020-01-24
1396204871 Tanza L Walker Nurse Practitioner 6135 Ricker Rd, Jacksonville, FL 32244-2605 2019-03-14
1437622107 Michelle Espanol Garcia Nurse Practitioner 9957 Moorings Dr Ste 204, Jacksonville, FL 32257 2019-01-05
1972087682 Telicia Fisher Nurse Practitioner 11634 Brian Lakes Dr, Jacksonville, FL 32221-2855 2018-09-18
1629555834 Jose R Garcia Nurse Practitioner 9310 Old Kings Rd S Ste 1303, Jacksonville, FL 32257-8100 2018-07-20
1730694290 David Jonathan Tonto Nurse Practitioner 11250 Baptist Health Dr, Jacksonville, FL 32218-2978 2017-12-06
1316293384 Marta Kay Spaulding Wells Nurse Practitioner 13720 Weeping Willow Way, Jacksonville, FL 32224-6899 2012-07-27
1316057029 Kristine H Thompson Nurse Practitioner 2563 Oak St, Jacksonville, FL 32204-4559 2006-08-30
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Competitor

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City JACKSONVILLE
Zip Code 32205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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