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Contact Information

MAYRA DEJESUS, ARNP
10739 DEERWOOD PARK BLVD STE 200
JACKSONVILLE, FL32256-4839
 Phone: 904-719-7707
 Fax: 800-266-5158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Gerontology

364SG0600X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for MAYRA DEJESUS · (Female)

NPI # 1851743199
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 07/11/2016
Last updated 01/26/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 2114722
  • FL License # ARNP2114722
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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