Healthcare Provider Details

I. General information

NPI: 1376711887
Provider Name (Legal Business Name): MS. JOAN PIERRE-LOUIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOAN PIERRE-LOUIS RN

II. Dates (important events)

Enumeration Date: 02/19/2008
Last Update Date: 02/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 SW 70TH ST APT 523
SOUTH MIAMI FL
33143-3405
US

IV. Provider business mailing address

6001 SW 70TH ST APT 523
SOUTH MIAMI FL
33143-3405
US

V. Phone/Fax

Practice location:
  • Phone: 850-284-6622
  • Fax:
Mailing address:
  • Phone: 850-284-6622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License NumberRN9221685
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN9221685
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163WR0400X
TaxonomyRehabilitation Registered Nurse
License NumberRN9221685
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: