Decoste, Jennifer Michelle

Decoste, Jennifer Michelle is an individual health care provider with primary practice located at 234 Crooked Creek Pkwy Ste 110 , Durham NC 27713-8507. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Decoste, Jennifer Michelle can be contacted via phone (859) 200-3726.

Contact Information

Primary practice address
234 Crooked Creek Pkwy Ste 110 Durham NC 27713-8507
Phone: (859) 200-3726
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2018-02052 North Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1518354604
LBN Legal business name Decoste, Jennifer Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2015
Last updated Nov 6th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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