Individual provider · NPI-1

Jamie Andre, MD

Internal Medicine, Nephrology · Fort Pierce, FL

NPI number1962665638
StatusActive
Last updated in NPPESJul 13, 2022

Details

NPI
1962665638
Entity type
Individual (NPI-1)
Name
Jamie Andre
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 3, 2008
Certification date
Jul 13, 2022
Last updated
Jul 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RN0300X Internal Medicine, NephrologyME110090FLYes
207R00000X Internal Medicine251189NY
207R00000X Internal Medicine25MA09228600NJ
207R00000X Internal Medicine53493TN
207R00000X Internal MedicineME110090FL
207R00000X Internal MedicineME127673FL
207RN0300X Internal Medicine, NephrologyME127673FL
207RN0300X Internal Medicine, Nephrology25MA09228600NJ
207RN0300X Internal Medicine, Nephrology251189NY
208M00000X HospitalistME127673FL

Practice location

2000 Hartman Rd
Fort Pierce, FL 34947-4408

Phone 772-465-1170 · Fax 772-465-1175

Mailing address

2000 Hartman Rd
Fort Pierce, FL 34947-4408

Phone 772-465-1170 · Fax 772-465-1175

Other practice locations

2124 Fawns Creek Xing
Mount Juliet, TN 37122-1207

Phone 347-392-7208

13001 Southern Blvd
Loxahatchee, FL 33470-9203

Phone 561-798-3300

1401 Se Goldtree Dr Ste Unitb
Port Saint Lucie, FL 34952-7584

Phone 772-337-3540

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