Jennifer Rose Decker, DPM

Podiatrist · Enterprise, AL

Individual Active NPI

NPI number 1104092113

Practice location

107 E Watts St
Enterprise, AL 36330-2511
Phone
(334) 310-1706

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NPI record

NPI
1104092113
Entity type
Individual (Type 1)
Enumeration date
April 30, 2008
Last updated
October 15, 2021
Certified
October 15, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Podiatrist Primary 213E00000X 328 AL
Podiatrist 213E00000X 000853 CT
Podiatrist 213E00000X PO3855 FL
Podiatrist 213E00000X 016005364 IL

About Dr. Decker

Jennifer Rose Decker, DPM is a healthcare provider registered in the NPI registry with the primary taxonomy Podiatrist (code 213E00000X). The practice location is 107 E Watts St, Enterprise, AL 36330-2511. The NPI number 1104092113 was assigned on April 30, 2008 and the record was last updated on October 15, 2021.

Dr. Decker lists 4 licenses in the registry: #328 (AL) for Podiatrist; #000853 (CT) for Podiatrist; #PO3855 (FL) for Podiatrist; #016005364 (IL) for Podiatrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jennifer Rose Decker, DPM?

The NPI number is 1104092113.

What is the phone number of Dr. Decker?

The phone number listed for the practice location is (334) 310-1706.

Where is Dr. Decker located?

107 E Watts St, Enterprise, AL 36330-2511.

What is the taxonomy code for Dr. Decker?

The primary taxonomy code is 213E00000X – Podiatrist; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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