Individual provider · Type 1 NPI

Mayra Dejesus, ARNP

Gerontology Nurse Practitioner · Jacksonville, FL

NPI number 1851743199 Active

Practice location

10739 Deerwood Park Blvd Ste 200
Jacksonville, FL 32256-4839

Fax (800) 266-5158

Mailing address

1792 Meadowgold Ln
Winter Park, FL 32792-6364

Specialties and licenses

TaxonomyCodeLicense
Gerontology Clinical Nurse Specialist 364SG0600X2114722 (FL)
Gerontology Nurse Practitioner Primary 363LG0600XARNP2114722 (FL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1851743199

Mayra Dejesus, ARNP's National Provider Identifier is 1851743199, issued on Jul 11, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 26, 2018.