Individual
JEANETTE ELLA POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5690 W ATLANTIC AVE APT 304, DELRAY BEACH, FL 33484-8218
(708) 289-5341
Mailing address
5690 W ATLANTIC AVE APT 304, DELRAY BEACH, FL 33484-8218
(708) 289-5341
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
W445166
FL
302R00000X
Health Maintenance Organization
W445166
FL
305R00000X
Preferred Provider Organization
W445166
FL
305S00000X
Point of Service
Primary
W445166
FL
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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