MARGARETTE JEROME AGNP NPI 1053899179

NPI Information

  • NPI: 1053899179
  • Provider Name: MARGARETTE JEROME, AGNP
  • Classification: Clinical Nurse Specialist - 364SP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1639 FORUM PL STE 7
    WEST PALM BEACH, FL
    ZIP 33401
  • Phone: (561) 712-8821

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NPI Details

Margarette Jerome, AGNP is a psychiatric/mental health clinical nurse specialist in West Palm Beach, FL. Margarette Jerome, AGNP NPI is 1053899179. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1639 FORUM PL STE 7
WEST PALM BEACH, FL
ZIP 33401-330
Phone: (561) 712-8821
Fax: (561) 712-8070

The NPI 1053899179 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2018 and was last updated on 8/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine9296204FLORIDANo
2363LG0600XNurse PractitionerGerontologyAPRN9296204FLORIDANo
3364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthAPRN9296204FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AG07180172MEDICAIDFLORIDA
2AG07180172OTHERFLORIDAAGNP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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