MAYRA DEJESUS (NPI# 1851743199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851743199 |
| Entity Type | Individual |
| Full Name | MAYRA DEJESUS |
| Credential | ARNP |
| Practice Address |
10739 Deerwood Park Blvd Ste 200 Jacksonville FL 32256-4839 |
| Mailing Address |
1792 Meadowgold Ln Winter Park FL 32792-6364 |
| Practice Telephone | 9047197707 |
| Practice Fax Number | 8002665158 |
| Mailing Telephone | 4072563715 |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2018-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
ARNP2114722 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
2114722 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10739 DEERWOOD PARK BLVD STE 200 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-4839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953860 | Ellen M. Huson | Nurse Practitioner | 10739 Deerwood Park Blvd Ste 200, Jacksonville, FL 32256 | 2005-06-21 |
| 1134788383 | Samantha Ethalee Gates | Nurse Practitioner | 10739 Deerwood Park Blvd Ste 200, Jacksonville, FL 32256-4839 | 2019-06-11 |
| 1821589896 | Tamara Alicea-nieves | Registered Nurse | 10739 Deerwood Park Blvd Ste 200, Jacksonville, FL 32256 | 2018-05-24 |
| 1013419654 | Aleena Gurskiy | Nurse Practitioner | 10739 Deerwood Park Blvd Ste 200, Jacksonville, FL 32256-4839 | 2018-02-28 |
| 1164943957 | Pophealthcare, LLC | Nurse Practitioner | 10739 Deerwood Park Blvd Ste 200, Jacksonville, FL 32256-4839 | 2017-06-30 |
| 1164974507 | Akilah Tunsill | Nurse Practitioner | 10739 Deerwood Park Blvd Ste 200, Jacksonville, FL 32256-4839 | 2016-11-02 |
| 1841657160 | Theresa-lynda D'souza | Nurse Practitioner | 10739 Deerwood Park Blvd Ste 200, Jacksonville, FL 32256-4839 | 2016-01-16 |
| 1871991281 | April Primous | Nurse Practitioner | 10739 Deerwood Park Blvd Ste 200, Jacksonville, FL 32256-4839 | 2014-12-17 |
| 1023427689 | Florence Ochieng-kizia | Nurse Practitioner | 10739 Deerwood Park Blvd Ste 200, Jacksonville, FL 32256-4839 | 2014-08-07 |
| 1306282322 | Rita Germain | Nurse Practitioner | 10739 Deerwood Park Blvd Ste 200, Jacksonville, FL 32256-4839 | 2013-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265081517 | Patsy Taylor | Nurse Practitioner | 8518 Julia Marie Cir, Jacksonville, FL 32210-0412 | 2019-09-10 |
| 1801449624 | Jamie Lea Laakmann | Nurse Practitioner | 14890 Bartram Creek Blvd, Jacksonville, FL 32259-7044 | 2019-07-21 |
| 1003312539 | Michael Eric Bristow | Nurse Practitioner | 11481 Old Saint Augustine Rd Ste 303, Jacksonville, FL 32258-1476 | 2018-04-03 |
| 1982159190 | Dena Alexander | Nurse Practitioner | 12015 Stacy Scott Ct, Jacksonville, FL 32223-0780 | 2016-08-17 |
| 1871820159 | Kay Frances Fullwood | Nurse Practitioner | 2345 Luana Dr E, Jacksonville, FL 32246-9561 | 2009-11-08 |
| 1023048147 | Laura J Rowe | Nurse Practitioner | 3599 University Blvd. South, Jacksonville, FL 32216 | 2006-07-04 |
| 1871581660 | Lolita Condino Massengill | Nurse Practitioner | 6665 Banbury Road, Jacksonville, FL 32211 | 2005-10-06 |
| 1114926037 | Andrea H Clayman | Nurse Practitioner | 11812 Crusselle Dr, Jacksonville, FL 32223-0876 | 2005-07-21 |
| 1467088724 | Mary Joy Castro Whitmire | Nurse Practitioner | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-03-19 |
| 1386120087 | Heidi Diane Brown | Nurse Practitioner | 915 W Monroe St Ste 200, Jacksonville, FL 32204-1177 | 2018-07-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
Please comment or provide details below to improve the information on MAYRA DEJESUS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.