Jenine Louise Conrad
Nurse Practitioner, Family in Deerfield Beach, FL. Individual provider (NPI-1).
NPI number1710487103
StatusActive
Last updated in NPPESFeb 13, 2018
Details
- NPI
- 1710487103
- Entity type
- Individual (NPI-1)
- Name
- Jenine Louise Conrad
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2018
- Last updated
- Feb 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0024175628 | VA | Yes |
Practice location
600 W Hillsboro Blvd Ste 10Deerfield Beach, FL 33441-1609
Phone 186-644-8771 · Fax 954-596-4746
Mailing address
5615 Barbary Coast DrNew Bern, NC 28560-9708
Phone 434-953-6860
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All 89 Family Nurse Practitioner providers in Deerfield Beach · All 4,521 providers in Deerfield Beach
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