Individual provider · Type 1 NPI

Jennifer Desruisseaux

Student in an Organized Health Care Education/Training Program · Fort Lauderdale, FL

NPI number 1770174534 Active

Practice location

6416 NW 5th Way
Fort Lauderdale, FL 33309-6112

Mailing address

961 Harbor Inn Dr
Coral Springs, FL 33071-5620

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1770174534

Jennifer Desruisseaux's National Provider Identifier is 1770174534, issued on Feb 3, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Feb 3, 2021.