NPI 1013360395

Derly Jean-Noel

Practitioner General Acute Care Hospital Kissimmee, FL

Practice location

Address: 3380 Wilderness Trl, Kissimmee, FL 34746-2926
Phone: (407) 973-9432

Registered specialties (4)

General Acute Care Hospital Primary

Hospitals Taxonomy 282N00000X Licence 4450 (FL)

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Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence ME 94731 (FL)

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Exclusive Provider Organization

Managed Care Organizations Taxonomy 302F00000X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence AG0316099 (FL)

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Registry record

NPI: 1013360395
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jul 2016
Record last updated: 21 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.