person
Jennifer L Deforge, ARNP
Adult Health Nurse Practitioner in Merritt Island, Florida
NPI 1356409742

Jennifer L Deforge is an Adult Health Nurse Practitioner based in Merritt Island, FL and is specialized in Adult Health. Jennifer L Deforge practices in Merritt Island, FL and has the professional credentials of ARNP. The NPI Number for Jennifer L Deforge is 1356409742 and holds a License No. APRN9200700 (Florida).

The current practice location address for Jennifer L Deforge is 1395 N Courtenay Pkwy Ste 107, Merritt Island, FL and can be reached out via phone at 321-453-1955 and via fax at 321-639-5177.

Location: 1395 N Courtenay Pkwy Ste 107, Merritt Island, FL, 32953-4474
person
Provider Profile Details
NPI Number
1356409742
Provider Name
Jennifer L Deforge
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
1395 N Courtenay Pkwy Ste 107, Merritt Island, FL, 32953-4474
Phone Number
321-453-1955
Fax Number
321-639-5177
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ARNP9200700 01 FL LICENSE
institution
Provider Business Practice Location Address Details
Address
1395 N Courtenay Pkwy Ste 107
City
State
Zip
32953
Phone Number
321-453-1955
Fax Number
321-639-5177
person
Provider Business Mailing Address Details
Address
1395 N Courtenay Pkwy Ste 107
City
State
Zip
32953
Phone Number
321-453-1955
Fax Number
321-639-5177
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
APRN9200700 (Florida)
Definition
Definition to come...
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