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General NPI Number Information
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NPI Number | 1356891915
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Entity Type | Individual
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Provider Name | YVELINE JACQUES DNP
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Gender | Female
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Dates
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Enumeration Date | 10/07/2016
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 6100 GLADES RD STE 311
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City | BOCA RATON
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State | FL
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Zip | 33434-4325
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Country | US
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Telephone | 561-931-0381
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Fax | 561-264-3153
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Provider Business Mailing Address
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Address Line | 1100 NW 95TH ST
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City | MIAMI
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State | FL
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Zip | 33150-2038
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Country | US
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Telephone | 305-835-6000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN9299058
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | ARNP 9299058
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9299058
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License Number State | FL
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