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Individual

MARGARETTE JEROME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGNP

Contact information

Practice address
1639 FORUM PL STE 7, WEST PALM BEACH, FL 33401-2330
(561) 712-8821
(561) 712-8070
Mailing address
1639 FORUM PL STE 7, WEST PALM BEACH, FL 33401-2330
(561) 712-8821
(561) 712-8070

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9296204
FL
363LG0600X
Gerontology Nurse Practitioner
APRN9296204
FL
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APRN9296204
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AG07180172
AGNP
FL
05
AG07180172
FL
Enumeration date
07/31/2018
Last updated
08/02/2023
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