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LAURA ANN DIJEROME RN, CNP
NPI 1063519148
Nurse Practitioner in Cocoa Beach, FL

Active since September 20, 2006
80 WOODLAND AVE, COCOA BEACH, FL 32931(321) 799-2840 Get Directions Write a Review

NPPES record last updated: February 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laura Ann Dijerome Rn, Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA ANN DIJEROME RN, CNP (NPI 1063519148) is an individual nurse practitioner in Cocoa Beach, Florida, licensed in Florida (ARNP9341204) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1063519148
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLAURA ANN DIJEROMECredential: RN, CNP
Location Address80 WOODLAND AVECocoa Beach, FL 32931-2854
Mailing Address80 Woodland AveCocoa Beach, FL 32931-2854 · (321) 799-2840
Phone(321) 799-2840
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateFebruary 13, 2015
✔ NPI 1063519148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP9341204
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
80 WOODLAND AVE, Cocoa Beach, FL 32931
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Other Identifiers 2

MedicaidP322604OH
Medicare ID-Type UnspecifiedPO8123OH

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANTHONY MORENO PA-C
Physician Assistant (Medical)
80 WOODLAND AVE
COCOA BEACH, FL 32931
Brevard County (321) 768-1600
DR. BETSY LEVERITT, D.O.,
Dermatology
80 WOODLAND AVE
COCOA BEACH, FL 32931
Brevard County (321) 768-1600
MRS. HELEN GILMORE TURK PA-C
Physician Assistant (Medical)
80 WOODLAND AVE
COCOA BEACH, FL 32931
Brevard County (321) 768-1600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Dijerome's NPI number?

The NPI number for Laura Dijerome is 1063519148. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Laura Dijerome located?

Laura Dijerome practices at 80 Woodland Ave, Cocoa Beach, FL 32931. The listed phone number is (321) 799-2840.

What is Laura Dijerome's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Laura Dijerome was last updated on February 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.