MS. DEVADAH LA JEUNE KING APRN NPI 1568990315

NPI Information

NPI: 1568990315
Provider Name: MS. DEVADAH LA JEUNE KING, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: ORLANDO HEALTH MEDICAL GROUP INC

PECOS Registration: Yes

Address:
1900 DON WICKHAM DR
CLERMONT, FL
ZIP 34711
Phone: (352) 536-8840
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MS. Devadah La Jeune King, APRN is an adult health nurse practitioner in Clermont, FL with 15 years of experience. MS. Devadah La Jeune King, APRN NPI is 1568990315. 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:

1900 DON WICKHAM DR
CLERMONT, FL
ZIP 34711
Phone: (352) 536-8840
Fax: (352) 536-8841

The NPI 1568990315 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 5/24/2017 and was last updated on 12/6/2019.

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
1	363L00000X	Nurse Practitioner		9218029	FLORIDA	No
2	363LA2200X	Nurse Practitioner	Adult Health	APRN9218029	FLORIDA	Yes
3	363LP0200X	Nurse Practitioner	Pediatrics	ARNP9218029	FLORIDA	No

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
1	022286700	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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