Samuel Lamont Jerideau in Duncanville - Family
Samuel Lamont Jerideau - NPI 1790719748
Samuel Lamont Jerideau is a Family in Duncanville, Texas. Samuel Lamont Jerideau practices all healthcare services and medical treatments related to Family. The NPI Number for Samuel Lamont Jerideau is 1790719748. The last update date is 2011-09-26.
Samuel Lamont Jerideau's current location address is 1459 Acton Ave, Duncanville, Texas. You can contact this provider via phone number 9727800118 and fax number 9727800491. The mailing address for Samuel Lamont Jerideau is 1459 Acton Ave, Duncanville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Lamont Jerideau |
|---|---|
| Address | 1459 Acton Ave, Duncanville, Texas |
| Phone Number | 9727800118 |
| Fax Number | 9727800491 |
| Sole Proprietor | Y |
| Credentials | R.N. |
NPI Number Detail
| NPI Number | 1790719748 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2011-09-26 |
Provider Mailing Address Detail
| Address | 1459 Acton Ave |
|---|---|
| City | Duncanville |
| State | Texas (TX) |
| Post Code | 751373338 |
| Phone Number | 9727800118 |
| Fax Number | 9727800491 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 651668 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Samuel Lamont Jerideau by the Centers for Medicare & Medicaid Services?
The Samuel Lamont Jerideau has been issued the NPI (National Provider Identifier) 1790719748 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Samuel Lamont Jerideau is geographically located?
The Samuel Lamont Jerideau is physically situated at the following location: 1459 Acton Ave, Duncanville, TX, 751373338.
What is the Samuel Lamont Jerideau's area of specialization and corresponding taxonomy classification?
The Samuel Lamont Jerideau's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1790719748 to Samuel Lamont Jerideau?
The Centers for Medicare & Medicaid Services assigned the 1790719748 to Samuel Lamont Jerideau on 2006-07-10.
When was the information pertaining to Samuel Lamont Jerideau most recently updated or revised?
The details related to Samuel Lamont Jerideau, including its address, specialty, and other relevant information, were last updated or revised on 2011-09-26.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA