Basic Information
Provider Information
NPI: 1003148958
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JEAN-ALEGER
FirstName: RHODE
MiddleName: L.
NamePrefix: MRS.
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10075 GATE PKWY N APT 102
Address2:  
City: JACKSONVILLE
State: FL
PostalCode: 322464414
CountryCode: US
TelephoneNumber: 9049979844
FaxNumber: 9049979844
Practice Location
Address1: 10075 GATE PKWY N APT 102
Address2:  
City: JACKSONVILLE
State: FL
PostalCode: 322464414
CountryCode: US
TelephoneNumber: 9049979844
FaxNumber: 9049979844
Other Information
ProviderEnumerationDate: 02/03/2010
LastUpdateDate: 02/03/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XF305148-1NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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