Healthcare Provider Details

I. General information

NPI: 1851165344
Provider Name (Legal Business Name): SEVENISE PIERRE CHERELUS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2023
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4121 NW 5TH ST STE 218
PLANTATION FL
33317-2120
US

IV. Provider business mailing address

4121 NW 5TH ST STE 218
PLANTATION FL
33317-2120
US

V. Phone/Fax

Practice location:
  • Phone: 954-376-6313
  • Fax: 954-376-6314
Mailing address:
  • Phone: 954-376-6313
  • Fax: 954-376-6314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberGAA-NP003869
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCNP251536
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberG181932
License Number StateIA
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11032590
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN9466954
License Number StateFL
# 6
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number406312
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: