Provider Demographics
NPI:1013576396
Name:MONDESIR, DARNELLE (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:DARNELLE
Middle Name:
Last Name:MONDESIR
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6783 CHESTER PARK CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32222-1427
Mailing Address - Country:US
Mailing Address - Phone:904-554-9489
Mailing Address - Fax:
Practice Address - Street 1:6783 CHESTER PARK CIR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32222-1427
Practice Address - Country:US
Practice Address - Phone:904-554-9489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-10
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11002619363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner