Provider Demographics
NPI:1730288846
Name:JEANNE M ALBERT ARNP, PA
Entity Type:Organization
Organization Name:JEANNE M ALBERT ARNP, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:772-713-1228
Mailing Address - Street 1:2253 6TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32962-8301
Mailing Address - Country:US
Mailing Address - Phone:772-713-1228
Mailing Address - Fax:888-990-2106
Practice Address - Street 1:2253 6TH AVE SE
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32962-8301
Practice Address - Country:US
Practice Address - Phone:772-713-1228
Practice Address - Fax:888-990-2106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1039282363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP78462Medicare UPIN