Healthcare Provider Details

I. General information

NPI: 1063422426
Provider Name (Legal Business Name): JEAN MARIE GURNICK ARNP/CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136-1005
US

IV. Provider business mailing address

18400 SW 267TH ST
HOMESTEAD FL
33031-2240
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-5116
  • Fax:
Mailing address:
  • Phone: 786-243-3224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number3193732
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: