Individual provider · Type 1 NPI

Jennifer Deronville Stanley

Adult Health Nurse Practitioner · Boca Raton, FL

NPI number 1902679889 Active

Practice location

777 Glades Rd
Boca Raton, FL 33431-6424

Mailing address

2920 NW 25th St
Fort Lauderdale, FL 33311-2836

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X9460025 (FL)
Adult Health Nurse Practitioner Primary 363LA2200X11027659 (FL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1902679889

Jennifer Deronville Stanley's National Provider Identifier is 1902679889, issued on Nov 2, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Boca Raton, FL. The record was last updated on Nov 2, 2023.