Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jennifer Marie Defazio, MD

Individual provider Procedural Dermatology Physician · NPI 1508988742

Dr. Jennifer Marie Defazio, MD is a Dermatology in Greenville, North Carolina. Graduated from West Virginia University School of Medicine in 2004, 22 years ago. Practices with East Carolina University, a 498-clinician group and accepts Medicare assignment. Licensed in North Carolina and West Virginia.

Years since qualifying
22
Trained at
West Virginia University School of Medicine
Licensed in
NC, WV
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

517 Moye Blvd
Greenville, NC 27834-2849
Phone: (252) 744-3109
Fax: (252) 744-2096
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 2009-01325 (NC)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 22380 (WV)

Record details

NPI number1508988742
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 6, 2007
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice East Carolina University — 498 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare