MEDICARE: DUKENS JEAN-MARIE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide	2024941447	DE

General Provider Information

NPI Number	:	1154162519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DUKENS JEAN-MARIE

Provider Business Mailing Address
First Line	:	4 YALE AVE
Second Line	:
City	:	AVENEL
State	:	NJ
Zip	:	07001-1823
Country	:	US
Telephone Number	:	908-494-2337
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 N KIRKWOOD ST
Second Line	:
City	:	DOVER
State	:	DE
Zip	:	19904-3142
Country	:	US
Telephone Number	:	908-494-2337
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2024
Last Update Date	:	06/01/2024

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Directions to “ DUKENS JEAN-MARIE ” Practice Location

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