MAYRA DEJESUS ARNP - NPI 1851743199 - Nurse Practitioner in Jacksonville, FL

Q: What is Mayra Dejesus's NPI number?

The NPI number for Mayra Dejesus is 1851743199. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Q: What is Mayra Dejesus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Mayra Dejesus was last updated on January 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mayra Dejesus Arnp NPPES

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

MAYRA DEJESUS ARNP (NPI 1851743199) is an individual gerontology provider in Jacksonville, Florida, licensed in Florida (ARNP2114722) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1851743199

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMAYRA DEJESUSCredential: ARNP

Location Address10739 DEERWOOD PARK BLVD STE 200Jacksonville, FL 32256-4839

Mailing Address1792 Meadowgold LnWinter Park, FL 32792-6364 · (407) 256-3715

Phone(904) 719-7707

Fax(800) 266-5158

Sole ProprietorNo

Enumeration DateJuly 11, 2016

Last NPPES UpdateJanuary 26, 2018

✔ NPI 1851743199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in FL · ARNP2114722

Also ListedClinical Nurse Specialist · GerontologyTaxonomy 364SG0600X · License 2114722 (FL)

10739 DEERWOOD PARK BLVD STE 200, Jacksonville, FL 32256

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Other Providers at the Same Location NPPES 9

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

ALEENA GURSKIY ARNP, FNP-BC, MSN

Nurse Practitioner (Family)