Provider Demographics
NPI:1962974592
Name:DANGERFIELD, JOELLE (MSN, ARNP, AGPCNP-BC)
Entity type:Individual
Prefix:
First Name:JOELLE
Middle Name:
Last Name:DANGERFIELD
Suffix:
Gender:F
Credentials:MSN, ARNP, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7015 A C SKINNER PKWY STE 1
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-6932
Mailing Address - Country:US
Mailing Address - Phone:904-363-2113
Mailing Address - Fax:904-363-2113
Practice Address - Street 1:7015 A C SKINNER PKWY STE 1100
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-6932
Practice Address - Country:US
Practice Address - Phone:904-515-3737
Practice Address - Fax:904-516-3738
Is Sole Proprietor?:No
Enumeration Date:2018-12-20
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11025054363LA2200X
FLRN9359016163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse