Healthcare Provider Details

I. General information

NPI: 1699692418
Provider Name (Legal Business Name): ELEA SEVRAIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 JUPITER LAKES BLVD STE 102
JUPITER FL
33458-7100
US

IV. Provider business mailing address

11600 S GARDENS DR APT 109
PALM BEACH GARDENS FL
33418-5870
US

V. Phone/Fax

Practice location:
  • Phone: 561-972-6900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRN9674027
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: