Individual
JENNY DEJESUS
Active
Individual
JENNY DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP CDCES
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
533916
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F305705
NY
Other
Enumeration date
02/19/2010
Last updated
06/03/2024
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