Healthcare Provider Details

I. General information

NPI: 1013529569
Provider Name (Legal Business Name): JAIME BIANCA JAMES-SYLVAIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAIME BIANCA JAMES APRN

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 01/29/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5010 HOLLYWOOD BLVD STE 100B
HOLLYWOOD FL
33021-6557
US

IV. Provider business mailing address

6308 RODMAN ST
HOLLYWOOD FL
33023-1730
US

V. Phone/Fax

Practice location:
  • Phone: 954-967-0028
  • Fax: 954-272-0415
Mailing address:
  • Phone: 954-394-8829
  • Fax: 954-272-0415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11008668
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN11008668
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN11008668
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN11008668
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: