Jennifer L Deforge in Merritt Island - Adult Health
Jennifer L Deforge - NPI 1356409742
Jennifer L Deforge is a Adult Health in Merritt Island, Florida. Jennifer L Deforge practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Jennifer L Deforge is 1356409742. The last update date is 2019-05-23.
Jennifer L Deforge's current location address is 1395 N Courtenay Pkwy Ste 107, Merritt Island, Florida. You can contact this provider via phone number 3214531955 and fax number 3214542406. The mailing address for Jennifer L Deforge is 1395 N Courtenay Pkwy Ste 107, Merritt Island, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer L Deforge |
|---|---|
| Address | 1395 N Courtenay Pkwy Ste 107, Merritt Island, Florida |
| Phone Number | 3214531955 |
| Fax Number | 3214542406 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1356409742 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2019-05-23 |
Provider Mailing Address Detail
| Address | 1395 N Courtenay Pkwy Ste 107 |
|---|---|
| City | Merritt Island |
| State | Florida (FL) |
| Post Code | 329534474 |
| Phone Number | 3214531955 |
| Fax Number | 3214542406 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | APRN9200700 |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ARNP9200700 | FL | LICENSE |
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What is the unique 10-digit identifier code assigned to Jennifer L Deforge by the Centers for Medicare & Medicaid Services?
The Jennifer L Deforge has been issued the NPI (National Provider Identifier) 1356409742 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jennifer L Deforge located?
The Jennifer L Deforge is located at 1395 N Courtenay Pkwy Ste 107, Merritt Island, FL 329534474.
What is Jennifer L Deforge's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jennifer L Deforge is Adult Health, and the taxonomy code that classifies this field of practice is 363La2200X.
On what date did the Jennifer L Deforge receive the assignment of its 1356409742 from the Centers for Medicare & Medicaid Services?
The Jennifer L Deforge was issued its 1356409742 by the Centers for Medicare & Medicaid Services on 2006-12-05.
When was the Jennifer L Deforge's information last updated?
The Jennifer L Deforge's information was last updated on 2019-05-23.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA