Healthcare Provider Details

I. General information

NPI: 1336738608
Provider Name (Legal Business Name): CHRIS AND ELZA HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2021
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12327 85TH RD N
WEST PALM BEACH FL
33412-2326
US

IV. Provider business mailing address

12327 85TH RD N
WEST PALM BEACH FL
33412-2326
US

V. Phone/Fax

Practice location:
  • Phone: 561-545-5013
  • Fax:
Mailing address:
  • Phone: 561-545-5013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CAROLE JENKINS
Title or Position: OWNER
Credential: APRN
Phone: 561-801-0664