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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JENNIFER ROSE DECKER, DPM

Active Sole Proprietor

DR. JENNIFER ROSE DECKER, DPM is a Podiatrist healthcare provider located in ENTERPRISE, Alabama. NPI 1104092113 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · ENTERPRISE, AL

Registration Details

NPI Number
1104092113
Provider Type
Individual
Gender
Female
NPI Issued
Apr 30, 2008 (18.251365816948 yrs)
Last Updated
Oct 15, 2021
Licenses
000853 (CT)
PO3855 (FL)
016005364 (IL)
328 (AL)
Sole Proprietor
Yes

Practice Information

Address
107 E WATTS ST
ENTERPRISE, AL, 363302511
Browse AL providers · Browse ZIP 36330
Phone
3343101706
Primary Specialty
Podiatrist
213E00000X
Additional Specialty
Podiatrist
Additional Specialty
Podiatrist
Additional Specialty
Podiatrist

Other Podiatrist Providers in ENTERPRISE, AL

Name Credential NPI
CHET J VAHOVIUS D.P.M 1902821895
LINCOLN V LOWE DPM 1396032280
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.