Provider Demographics
NPI:1841014735
Name:SARGENT, RHONDA MICHELLE (APRN CNM)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:MICHELLE
Last Name:SARGENT
Suffix:
Gender:F
Credentials:APRN CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3325 BRADLEY CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:GREEN COVE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32043-7068
Mailing Address - Country:US
Mailing Address - Phone:386-916-1697
Mailing Address - Fax:
Practice Address - Street 1:800 ZEAGLER DR STE 320
Practice Address - Street 2:
Practice Address - City:PALATKA
Practice Address - State:FL
Practice Address - Zip Code:32177-3827
Practice Address - Country:US
Practice Address - Phone:386-916-1697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11035622363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology