Provider Demographics
NPI:1669911418
Name:DORCELUS, BERCLINE (RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:BERCLINE
Middle Name:
Last Name:DORCELUS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14533 FENNEY CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-5120
Mailing Address - Country:US
Mailing Address - Phone:770-789-2157
Mailing Address - Fax:
Practice Address - Street 1:1068 ARLINGTON RD N
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-5811
Practice Address - Country:US
Practice Address - Phone:904-503-2244
Practice Address - Fax:904-503-2284
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9321347163W00000X, 163WA2000X, 163WH0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163W00000XNursing Service ProvidersRegistered Nurse
No163WH0500XNursing Service ProvidersRegistered NurseHemodialysis