Provider Demographics
NPI:1295710986
Name:POWERS, DEBRA L (ARNP, RNFA, FNP)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:L
Last Name:POWERS
Suffix:
Gender:F
Credentials:ARNP, RNFA, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 S OLD DIXIE HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7202
Mailing Address - Country:US
Mailing Address - Phone:561-852-0038
Mailing Address - Fax:561-852-2261
Practice Address - Street 1:1002 S OLD DIXIE HWY STE 101
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7202
Practice Address - Country:US
Practice Address - Phone:561-852-0038
Practice Address - Fax:561-852-2261
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1749252363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL115711200Medicaid
FL257033500Medicaid