Healthcare Provider Details

I. General information

NPI: 1962365809
Provider Name (Legal Business Name): JOURDAIN FAMILY HEALTH AND AESTHETICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 SE FEDERAL HWY UNIT 203B
STUART FL
34994-3407
US

IV. Provider business mailing address

1320 SE FEDERAL HWY UNIT 203B
STUART FL
34994-3407
US

V. Phone/Fax

Practice location:
  • Phone: 954-513-5053
  • Fax: 855-303-2398
Mailing address:
  • Phone: 954-513-5053
  • Fax: 855-303-2398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JEAN ELIE JOURDAIN
Title or Position: OWNER
Credential: FNP-C
Phone: 954-513-5053