Bishop, Diana Rogers

Bishop, Diana Rogers is an individual health care provider with primary practice located at 1361 13Th Ave S Ste &110&115 , Jacksonville Beach FL 32250-3233. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bishop, Diana Rogers can be contacted via phone (904) 247-5514.

Contact Information

Primary practice address
1361 13Th Ave S Ste &110&115 Jacksonville Beach FL 32250-3233
Phone: (904) 247-5514
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11001784 Florida

Profile Details

NPI number 1649565011
LBN Legal business name Bishop, Diana Rogers
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2011
Last updated Nov 19th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649565011 NPPES
Georgia Other RN184335 NURSING LICENSE

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