Healthcare Provider Details

I. General information

NPI: 1396580098
Provider Name (Legal Business Name): JESSICA ERIN LAINHART NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2024
Last Update Date: 07/05/2024
Certification Date: 07/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

840 US HIGHWAY 1
NORTH PALM BEACH FL
33408-3830
US

IV. Provider business mailing address

19046 SE MAYO DR
TEQUESTA FL
33469-1648
US

V. Phone/Fax

Practice location:
  • Phone: 561-776-8300
  • Fax:
Mailing address:
  • Phone: 561-398-0137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11033661
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: