Dejesus, Mayra

Dejesus, Mayra is an individual health care provider with primary practice located at 10739 Deerwood Park Blvd Ste 200 , Jacksonville FL 32256-4839. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Dejesus, Mayra can be contacted via phone (904) 719-7707.

Contact Information

Primary practice address
10739 Deerwood Park Blvd Ste 200 Jacksonville FL 32256-4839
Phone: (904) 719-7707
Fax: (800) 266-5158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 2114722 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X ARNP2114722 Florida

Profile Details

NPI number 1851743199
LBN Legal business name Dejesus, Mayra
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2016
Last updated Jan 26th, 2018 - about 7 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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