Individual
DJENANE EXCEUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
402 N BABCOCK ST STE 102, MELBOURNE, FL 32935-7335
(321) 241-6540
Mailing address
PO BOX 361095, MELBOURNE, FL 32936-1095
(321) 241-6540
(321) 428-4442
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11000678
FL
363LF0000X
Family Nurse Practitioner
APRN11000678
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116965700
—
FL
01
—
QS284
MEDICARE HF
FL
Enumeration date
12/30/2016
Last updated
03/07/2025
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