Jennifer M Deur, R.N.
Individual provider Active NPI Registered Nurse · Fremont, MI
NPI 1306117528 · NPPES record last updated Jan 19, 2012
Key facts
- NPI
- 1306117528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704278814 (MI)
- Practice address
- 230 W Oak St
Fremont, MI 49412-1526 - Phone
- (231) 924-4200
- Fax
- (231) 924-4064
- NPI assigned
- Jan 19, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704278814 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704278814 | MI | Yes |
Addresses
Primary practice location
230 W Oak St
Fremont, MI 49412-1526
Mailing address
230 W Oak St
Fremont, MI 49412-1526
Phone (231) 924-4200
Other providers in Fremont, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.