Individual provider · Type 1 NPI

Doreen Radjenovic, ARNP

Nurse Practitioner · Jacksonville, FL

NPI number 1033200043 Active

Practice location

807 Childrens Way
Jacksonville, FL 32207-8426

Fax (904) 390-3429

Mailing address

PO Box 191, Provider Enrollment Dept
Rockland, DE 19732-0191

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XARNP1607022 (FL)
Nurse Practitioner Primary 363L00000XARNP1607022 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1033200043

Doreen Radjenovic, ARNP's National Provider Identifier is 1033200043, issued on Sep 27, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 16, 2011.