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NPI Code Detail

MEDICARE: MRS. JENIFER ANN DEYOE ARNP

MEDICARE: MRS. JENIFER ANN DEYOE ARNP
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
1363LA2200XAdult Health Nurse PractitionerNP2891272FL
2363LP0808XPsychiatric/Mental Health Nurse Practitioner2891272FL

General Provider Information

NPI Number : 1366809550
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENIFER ANN DEYOE ARNP
Provider Business Mailing Address
First Line : 230 S DIXIE HWY
Second Line :
City : LAKE WORTH
State : FL
Zip : 33460-4154
Country : US
Telephone Number : 561-533-6640
Fax Number :
Provider Business Practice Location Address
First Line : 230 S DIXIE HWY
Second Line :
City : LAKE WORTH
State : FL
Zip : 33460-4154
Country : US
Telephone Number : 561-533-6640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2016
Last Update Date : 11/17/2019

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