Healthcare Provider Details

I. General information

NPI: 1265940175
Provider Name (Legal Business Name): JENNIFER SIMILIEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2018
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 N FEDERAL HWY # 185
POMPANO BEACH FL
33062-4304
US

IV. Provider business mailing address

140 NW 15TH PL
POMPANO BEACH FL
33060-5463
US

V. Phone/Fax

Practice location:
  • Phone: 786-449-2108
  • Fax:
Mailing address:
  • Phone: 786-449-2108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11045216
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: