Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | ARNP9238372 | FL |
Y | 363LG0600X | Nurse Practitioner - Gerontology | ARNP9238372 | FL |
NPI | 1043741366 |
---|---|
Provider Name | Mrs. Fredeline Jamero |
First Address | Miramar, FL 33027-4379 |
Second Address | Miramar, FL 33027-4379 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2017 |
Last Update Date | 08/01/2018 |