OrganizationActive
Daegavinchris,llc
NPI 1891337655 · Gerontology Nurse Practitioner · Port St Lucie, FL
Provider details
- NPI number
- 1891337655
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Claudine George, Owner(772) 626-1002
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4574 Sw Tabor St
Port St Lucie, FL 34953-6740
Phone: (772) 626-1002
Fax: (772) 871-0055
Street-level locationGet directions
Mailing address
4574 Sw Tabor St
Port St Lucie, FL 34953-6740
Registry dates
- Enumerated
- 2019-10-14
- Last updated
- 2020-05-08
- Certified
- 2020-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.