JENNIFER L DEFORGE

MERRITT ISLAND, FL
NPI1356409742
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
(Licence: FL  ARNP9200700)
Additional Taxonomies363LA2200X Nurse Practitioner Adult Health
(Licence: FL  APRN9200700)
Enumeration Date2006-12-05
Last Update Date2019-05-23
Business Address
JENNIFER L DEFORGE ARNP
1395 N COURTENAY PKWY STE 107
MERRITT ISLAND, FL 32953
Phone number: 321-453-1955
Mailing Address
JENNIFER L DEFORGE ARNP
1395 N COURTENAY PKWY STE 107
MERRITT ISLAND, FL 32953-4474
Phone number: 321-453-1955