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JENNIFER DESRUISSEAUX
NPI 1770174534
Student in an Organized Health Care Education/Training Program in Fort Lauderdale, FL

Active since February 03, 2021
6416 NW 5TH WAY, FORT LAUDERDALE, FL 33309(888) 754-0398 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jennifer Desruisseaux NPPES

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

JENNIFER DESRUISSEAUX (NPI 1770174534) is an individual student in an organized health care education/training program in Fort Lauderdale, Florida and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1770174534
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER DESRUISSEAUX
Location Address6416 NW 5TH WAYFort Lauderdale, FL 33309-6112
Mailing Address961 Harbor Inn DrCoral Springs, FL 33071-5620 · (609) 969-1766
Phone(888) 754-0398
Sole ProprietorYes
Enumeration DateFebruary 3, 2021
NPPES CertifiedFebruary 3, 2021
✔ NPI 1770174534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6416 NW 5TH WAY, Fort Lauderdale, FL 33309
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

LENICE DELCARMEN NIXON 10600000X
Behavior Technician
6416 NW 5TH WAY
FORT LAUDERDALE, FL 33309
Broward County (888) 754-0398
YESSENIA HINDIRA CASTRO
Assistant Behavior Analyst
6416 NW 5TH WAY
FORT LAUDERDALE, FL 33309
Broward County (888) 754-0398
MITESH DESAI
Behavior Analyst
6416 NW 5TH WAY
FORT LAUDERDALE, FL 33309
Broward County (888) 754-0398
KAREN ECKARDT
Behavior Analyst
6416 NW 5TH WAY
FT LAUDERDALE, FL 33309
Broward County (786) 942-1045
MISS HANNAH MEGAN RIKER
Behavior Technician
6416 NW 5TH WAY
FORT LAUDERDALE, FL 33309
Broward County (407) 489-2906
MS. LASHAVIOUS A HARRIS RBT
Behavior Technician
6416 NW 5TH WAY
FORT LAUDERDALE, FL 33309
Broward County (888) 754-0398
SHANNON SMITH
Behavior Technician
6416 NW 5TH WAY
FORT LAUDERDALE, FL 33309
Broward County (888) 754-0398
MELISSA DINDORF
Behavior Analyst
6416 NW 5TH WAY
FORT LAUDERDALE, FL 33309
Broward County (262) 853-8961

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 Jennifer Desruisseaux's NPI number?

The NPI number for Jennifer Desruisseaux is 1770174534. It was assigned to this individual provider in the NPPES registry on February 3, 2021.

Where is Jennifer Desruisseaux located?

Jennifer Desruisseaux practices at 6416 NW 5th Way, Fort Lauderdale, FL 33309. The listed phone number is (888) 754-0398.

What is Jennifer Desruisseaux's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jennifer Desruisseaux was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.