JENNIFER DESRUISSEAUX NPI 1770174534

NPI Information

Jennifer Desruisseaux is a student in an organized health care education training program in Fort Lauderdale, FL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jennifer Desruisseaux NPI is 1770174534. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6416 NW 5TH WAY
FORT LAUDERDALE, FL
ZIP 33309-112
Phone: (888) 754-0398

The enumeration date for this NPI number is 2/3/2021 and was last updated on 2/3/2021.

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:

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