Basic Information
Provider Information
NPI: 1083944003
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JONES
FirstName: DEBORAH
MiddleName: DIANE
NamePrefix:  
NameSuffix:  
Credential: F.N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: FRENCH
OtherFirstName: DEBORAH
OtherMiddleName: DIANE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 1580 SANTA BARBARA BLVD
Address2:  
City: THE VILLAGES
State: FL
PostalCode: 321596827
CountryCode: US
TelephoneNumber: 3522592159
FaxNumber: 3522595731
Practice Location
Address1: 1623 SW 1ST AVE
Address2:  
City: OCALA
State: FL
PostalCode: 344716528
CountryCode: US
TelephoneNumber: 3527329844
FaxNumber: 3523514305
Other Information
ProviderEnumerationDate: 01/14/2010
LastUpdateDate: 03/05/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X71003164AINN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363L00000XARNP9366238FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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