MS. DEATRAH DESHAWNDA DUBOSE NP NPI 1831340561

NPI Information

NPI: 1831340561
Provider Name: MS. DEATRAH DESHAWNDA DUBOSE, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: PRACTICE ASSOCIATES MEDICAL GROUP

PECOS Registration: Yes

Address:
95 MADISON AVE
MORRISTOWN, NJ
ZIP 07960
Phone: (973) 971-7300
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MS. Deatrah Deshawnda Dubose, NP is an acute care nurse practitioner in Morristown, NJ with 34 years of experience. MS. Deatrah Deshawnda Dubose, NP NPI is 1831340561. 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:

95 MADISON AVE
MORRISTOWN, NJ
ZIP 07960-092
Phone: (973) 971-7300

The NPI 1831340561 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 9/30/2008 and was last updated on 9/30/2008.

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	363LA2100X	Nurse Practitioner	Acute Care	26NN097464	NEW JERSEY	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: 11/14/2023

NPI Synchronization or Removal

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