Richardson, Donna N

Richardson, Donna N is an individual health care provider with primary practice located at 3229 Bear Run Blvd Bldg A , Orange Park FL 32065-7334. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Richardson, Donna N can be contacted via phone (904) 529-2800.

Contact Information

Primary practice address
3229 Bear Run Blvd Bldg A Orange Park FL 32065-7334
Phone: (904) 529-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP0940262 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP0940262 Florida

Profile Details

NPI number 1568548014
LBN Legal business name Richardson, Donna N
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Dec 31st, 2012 - about 13 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 1568548014 NPPES
Florida MEDICAID 033644100

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