Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER MARIE DEFAZIO, MD
ActiveProcedural Dermatology · GREENVILLE, NC
Registration Details
- NPI Number
- 1508988742
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 6, 2007 (19.043057925182 yrs)
- Last Updated
- Feb 7, 2024
- Licenses
-
2009-01325 (NC)22380 (WV)
Practice Information
- Address
-
517 MOYE BLVDGREENVILLE, NC, 278342849Browse NC providers · Browse ZIP 27834
- Phone
- 2527443109
- Fax
- 2527442096
- Primary Specialty
-
Procedural Dermatology
207NS0135X
- Additional Specialty
- Procedural Dermatology
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.