Provider Demographics
NPI:1275901977
Name:HELNE, DJENIE RUTH (DNP, FNP)
Entity type:Individual
Prefix:DR
First Name:DJENIE
Middle Name:RUTH
Last Name:HELNE
Suffix:
Gender:F
Credentials:DNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5745 SW 75TH ST # 161
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-5504
Mailing Address - Country:US
Mailing Address - Phone:561-809-1886
Mailing Address - Fax:800-706-0013
Practice Address - Street 1:3180 FAIRVIEW PARK DR STE 500
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-4583
Practice Address - Country:US
Practice Address - Phone:703-538-2065
Practice Address - Fax:571-401-8371
Is Sole Proprietor?:No
Enumeration Date:2015-09-11
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC002687363LF0000X
VA0024175631363LF0000X
DCRN1046125363LF0000X
FLARNP 9266375363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL016521000Medicaid
FLIM694XMedicare PIN