Provider Demographics
NPI:1336834233
Name:MORROW, ROSLYN LEA (RN)
Entity type:Individual
Prefix:
First Name:ROSLYN
Middle Name:LEA
Last Name:MORROW
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 MYRTLE BROOK BND
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA
Mailing Address - State:FL
Mailing Address - Zip Code:32081-5059
Mailing Address - Country:US
Mailing Address - Phone:904-315-7026
Mailing Address - Fax:
Practice Address - Street 1:401 MYRTLE BROOK BND
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA
Practice Address - State:FL
Practice Address - Zip Code:32081-5059
Practice Address - Country:US
Practice Address - Phone:094-315-7026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9327619163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty