MARY FRANCES DEDMON ARNP NPI 1376678748

NPI Information

  • NPI: 1376678748
  • Provider Name: MARY FRANCES DEDMON, ARNP
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 780 SW 24TH ST
    MEDICAL ADMINISTRATION
    FORT LAUDERDALE, FL
    ZIP 33315
  • Phone: (954) 467-4822

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NPI Details

Mary Frances Dedmon, ARNP is a primary care nurse practitioner in Fort Lauderdale, FL. Mary Frances Dedmon, ARNP NPI is 1376678748. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

780 SW 24TH ST
MEDICAL ADMINISTRATION
FORT LAUDERDALE, FL
ZIP 33315-643
Phone: (954) 467-4822

The enumeration date for this NPI number is 2/23/2007 and was last updated on 1/28/2013.

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
1363LP2300XNurse PractitionerPrimary CareARNP1144052FLORIDAYes

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
13044262-00MEDICAIDFLORIDA
2E4982ZMEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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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