Jesse Wayne Dreggors in Fern Park - Case Manager/care Coordinator

Jesse Wayne Dreggors - NPI 1407041262

Jesse Wayne Dreggors is a Case Manager/care Coordinator in Fern Park, Florida. Jesse Wayne Dreggors practices all healthcare services and medical treatments related to Case Manager/care Coordinator. The NPI Number for Jesse Wayne Dreggors is 1407041262. The last update date is 2011-11-18.

Jesse Wayne Dreggors's current location address is 237 Fernwood Blvd, Fern Park, Florida. You can contact this provider via phone number 4073232036 and fax number 4078310195. The mailing address for Jesse Wayne Dreggors is 237 Fernwood Blvd, Fern Park, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Jesse Wayne Dreggors
Address 237 Fernwood Blvd, Fern Park, Florida
Phone Number 4073232036
Fax Number 4078310195
Sole Proprietor N
Credentials LMHC

NPI Number Detail

NPI Number 1407041262
Provider Enumeration Date 2007-09-13
Last Updated Date 2011-11-18

Provider Mailing Address Detail

Address 237 Fernwood Blvd
City Fern Park
State Florida (FL)
Post Code 327302116
Phone Number 4073232036
Fax Number 4078310195

Provider's Primary Taxonomy Detail

Speciality Case Manager/care Coordinator
Taxonomy 171M00000X
Licence No MH 664
Definition:
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a pe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
768236100 FL --
768515700 FL --

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FAQs about Jesse Wayne Dreggors

What is the unique identifier code issued to Jesse Wayne Dreggors by the Centers for Medicare & Medicaid Services (CMS)?

The Jesse Wayne Dreggors has been assigned the NPI (National Provider Identifier) 1407041262. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Can you provide the Jesse Wayne Dreggors's physical address?

The Jesse Wayne Dreggors is physically located at 237 Fernwood Blvd, in the city of Fern Park, FL, with the postal code 327302116.

What is Jesse Wayne Dreggors's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jesse Wayne Dreggors is Case Manager/care Coordinator, and the taxonomy code that categorizes this field of expertise is 171M00000X.

On what date did Jesse Wayne Dreggors receive its 1407041262 assignment from the Centers for Medicare & Medicaid Services?

The Jesse Wayne Dreggors was assigned its 1407041262 on 2007-09-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jesse Wayne Dreggors, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jesse Wayne Dreggors, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-11-18.

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