Healthcare Provider Details

I. General information

NPI: 1689915332
Provider Name (Legal Business Name): JENNIFER HUYNH ARNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2013
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 SUNSET DR STE 401
SOUTH MIAMI FL
33143-4829
US

IV. Provider business mailing address

9950 SW 121ST ST
MIAMI FL
33176-4837
US

V. Phone/Fax

Practice location:
  • Phone: 305-666-4633
  • Fax:
Mailing address:
  • Phone: 786-525-3196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberARNP9242432
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP9242432
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: