MEDICARE: YOLAINE DEJAIMME APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	11020015	FL

General Provider Information

NPI Number	:	1134817398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLAINE DEJAIMME APRN

Provider Business Mailing Address
First Line	:	843 NW 113TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33168-2220
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	843 NW 113TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33168-2220
Country	:	US
Telephone Number	:	772-267-2737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2023
Last Update Date	:	04/26/2023

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