Dr. Doreen Radjenovic, ARNP
Nurse Practitioner in Jacksonville, FL. Individual provider (NPI-1).
NPI number1033200043
StatusActive
Last updated in NPPESSep 16, 2011
Details
- NPI
- 1033200043
- Entity type
- Individual (NPI-1)
- Name
- Dr. Doreen Radjenovic
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2006
- Last updated
- Sep 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP1607022 | FL | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | ARNP1607022 | FL |
Practice location
807 Childrens WayJacksonville, FL 32207-8426
Phone 904-390-3759 · Fax 904-390-3429
Mailing address
Po Box 191Provider Enrollment Dept
Rockland, DE 19732-0191
Phone 302-651-6212 · Fax 302-651-4945
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