Provider Demographics
NPI:1366052920
Name:DUMERAND, JOANNE (LPN, CCM)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:DUMERAND
Suffix:
Gender:F
Credentials:LPN, CCM
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:DEE
Other - Last Name:DUMERAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:703 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-2386
Mailing Address - Country:US
Mailing Address - Phone:954-635-5156
Mailing Address - Fax:
Practice Address - Street 1:703 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-2386
Practice Address - Country:US
Practice Address - Phone:561-943-2321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-07
Last Update Date:2024-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No171400000XOther Service ProvidersHealth & Wellness Coach