JILYAN GRACE RAE DECKER MD NPI 1790289478

NPI Information

Jilyan Grace Rae Decker, MD is a student in an organized health care education training program in Farmington, CT. 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. Jilyan Grace Rae Decker, MD NPI is 1790289478. 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:

263 FARMINGTON AVE
FARMINGTON, CT
ZIP 06030-001
Phone: (860) 679-4763

The NPI 1790289478 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/19/2018 and was last updated on 7/8/2019.

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:

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