Provider Demographics
NPI:1982898615
Name:ALBERT, JEANNE M (ARNP)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:M
Last Name:ALBERT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Practice Address - Country:US
Practice Address - Phone:772-713-1228
Practice Address - Fax:888-990-2106
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1039282363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP78462Medicare UPIN
FLK5412Medicare PIN