Individual
DR. JENNIFER DEMICHELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9732 MOUNT LOMPOC CT, LAS VEGAS, NV 89178-7511
(203) 801-8075
(585) 442-6580
Mailing address
1500 CONCORD TER, SUNRISE, FL 33323-2815
(800) 243-3839
(954) 851-1837
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
16249
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2009
Last updated
11/15/2016
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