Deroy, Jennifer

Deroy, Jennifer is an individual health care provider with primary practice located at 2150 Highway 54 S , Alamogordo NM 88310-7330. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Deroy, Jennifer can be contacted via phone (575) 443-8133.

Contact Information

Primary practice address
2150 Highway 54 S Alamogordo NM 88310-7330
Phone: (575) 443-8133
Fax: (575) 443-8055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R41076 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X CNP00916 New Mexico

Profile Details

NPI number 1609843689
LBN Legal business name Deroy, Jennifer
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Aug 1st, 2011 - about 13 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 1609843689 NPPES
New Mexico MEDICAID 49626248

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