Individual
MR. FERNANDO LUIS DE JESUS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
145 PINE HAVEN SHORES, SUITE 1000A, SHELBURNE, VT 05482
(802) 204-0044
Mailing address
145 PINE HAVEN SHORES, SUITE 100A, SHELBURNE, VT 05482
(802) 204-0044
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
026.0154884PROV
VT
163WC1500X
Community Health Registered Nurse
026.0154884PROV
VT
163WI0500X
Infusion Therapy Registered Nurse
026.0154884PROV
VT
163WW0000X
Wound Care Registered Nurse
026.0154884PROV
VT
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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