Provider Demographics
NPI:1417749698
Name:ARNOLD, DESIREE CHARMANE
Entity type:Individual
Prefix:
First Name:DESIREE
Middle Name:CHARMANE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4719 SHERMAN HILLS PKWY
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-0432
Mailing Address - Country:US
Mailing Address - Phone:904-234-9072
Mailing Address - Fax:
Practice Address - Street 1:4719 SHERMAN HILLS PKWY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-0432
Practice Address - Country:US
Practice Address - Phone:904-234-9072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health