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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770174534

Jennifer Desruisseaux is a Student in an Organized Health Care Education/Training Program in Fort Lauderdale, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021
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Practice location Address checks out

6416 NW 5th Way
Fort Lauderdale, FL 33309-6112
Phone: (888) 754-0398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (FL)

Record details

NPI number1770174534
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 3, 2021
Last updated in NPPESFebruary 3, 2021
Certification dateFebruary 3, 2021

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