De Jesus, Miriam Elena

De Jesus, Miriam Elena is an individual health care provider with primary practice located at 2634 Capital Cir Ne , Tallahassee FL 32308-4106. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. De Jesus, Miriam Elena can be contacted via phone (850) 523-3333.

Contact Information

Primary practice address
2634 Capital Cir Ne Tallahassee FL 32308-4106
Phone: (850) 523-3333
Fax: (850) 523-3411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X ARNP1385482 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP1385482 Florida

Profile Details

NPI number 1194856419
LBN Legal business name De Jesus, Miriam Elena
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194856419 NPPES
Florida MEDICAID 308266100

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