MRS. JADE MARIE MEDDERS EMT-B NPI 1750626172

NPI Information

NPI: 1750626172
Provider Name: MRS. JADE MARIE MEDDERS, EMT-B
Classification: Emergency Medical Technician, Basic - 146N00000X
Entity Type: Individual
Address:
725 DUNLAWTON AVE
#291938
PORT ORANGE, FL
ZIP 32129
Phone: (386) 562-4070
Get Directions

MRS. Jade Marie Medders, EMT-B is an emergency medical technician basic in Port Orange, FL. The provider is a Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. MRS. Jade Marie Medders, EMT-B NPI is 1750626172. 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:

725 DUNLAWTON AVE
#291938
PORT ORANGE, FL
ZIP 32129-001
Phone: (386) 562-4070
Fax: (386) 492-6941

The enumeration date for this NPI number is 12/11/2012 and was last updated on 10/4/2016.

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	183700000X	Pharmacy Technician		280101040340690	DISTRICT OF COLUMBIA	No
2	146N00000X	Emergency Medical Technician, Basic		EMT509305	FLORIDA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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