Healthcare Provider Details

I. General information

NPI: 1720598022
Provider Name (Legal Business Name): JEAN JULES ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JEAN JULES ARNP

II. Dates (important events)

Enumeration Date: 10/02/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

843 NW 119TH ST
NORTH MIAMI FL
33168-2336
US

IV. Provider business mailing address

5160 SW 158TH AVE
MIRAMAR FL
33027-5610
US

V. Phone/Fax

Practice location:
  • Phone: 305-846-9789
  • Fax:
Mailing address:
  • Phone: 305-970-7914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberARNP9299041
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: