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MR. JACQUES HERVE DESIR ARNP NPI 1073829966


NPI Information

NPI: 1073829966
Provider Name: MR. JACQUES HERVE DESIR, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2040 COLLIER AVE
SUITE A
FORT MYERS, FL
ZIP 33901
Phone: (239) 208-7756
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MR. Jacques Herve Desir, ARNP is a family nurse practitioner in Fort Myers, FL with 14 years of experience. MR. Jacques Herve Desir, ARNP NPI is 1073829966. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year:2010

The provider's business location address is:

2040 COLLIER AVE
SUITE A
FORT MYERS, FL
ZIP 33901-124
Phone: (239) 208-7756
Fax: (239) 208-7781

The NPI 1073829966 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 8/30/2010 and was last updated on 10/14/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyARNP9249044FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
175062740OTHERFLORIDAPRESTIGE
2Y05NROTHERFLORIDABCBS
3255810OTHERFLORIDAUNITED
4002961100MEDICAIDFLORIDA
5DZ407XMEDICARE OSCAR/CERTIFICATIONFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.