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General NPI Number Information
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NPI Number | 1174439087
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Entity Type | Organization
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Legal Business Name | JN LOUIS LLC
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 201 NW PRIMA VISTA BLVD
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986
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Country | US
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Telephone | 786-541-4755
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Fax |
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Provider Business Mailing Address
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Address Line | 5716 NW ALCAZAR TER
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-3546
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Country | US
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Telephone | 786-541-4755
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | EMMANUELLE JN LOUIS
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Credential | RN
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Telephone | 786-541-4755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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