TIMOTHY DE JURNETT
NPI 1811588668
Driver in Long Beach, CA

Active since February 02, 2021
4422 N BANNER DR APT 4, LONG BEACH, CA 90807(323) 849-9809 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy De Jurnett NPPES

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

TIMOTHY DE JURNETT (NPI 1811588668) is an individual driver provider in Long Beach, California and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1811588668
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameTIMOTHY DE JURNETT
Location Address4422 N BANNER DR APT 4Long Beach, CA 90807-2335
Mailing Address4422 N Banner Dr Apt 4Long Beach, CA 90807-2335 · (323) 849-9809
Sole ProprietorNo
Enumeration DateFebruary 2, 2021
NPPES CertifiedFebruary 2, 2021
NPI 1811588668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
4422 N BANNER DR APT 4, Long Beach, CA 90807

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 Timothy De Jurnett's NPI number?

The NPI number for Timothy De Jurnett is 1811588668. It was assigned to this individual provider in the NPPES registry on February 2, 2021.

Where is Timothy De Jurnett located?

Timothy De Jurnett practices at 4422 N Banner Dr Apt 4, Long Beach, CA 90807. The listed phone number is (323) 849-9809.

What is Timothy De Jurnett's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Timothy De Jurnett was last updated on February 2, 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.