MEDICARE: MRS. JAIME BIANCA JAMES-SYLVAIN APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APRN11008668	FL
2	363LA2200X	Adult Health Nurse Practitioner	APRN11008668	FL
3	363LG0600X	Gerontology Nurse Practitioner	APRN11008668	FL
4	363LW0102X	Women's Health Nurse Practitioner	APRN11008668	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013529569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAIME BIANCA JAMES-SYLVAIN APRN

Provider Business Mailing Address
First Line	:	6308 RODMAN ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-1730
Country	:	US
Telephone Number	:	954-394-8829
Fax Number	:	954-272-0415

Provider Business Practice Location Address
First Line	:	5010 HOLLYWOOD BLVD STE 100B
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6557
Country	:	US
Telephone Number	:	954-967-0028
Fax Number	:	954-272-0415

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2020
Last Update Date	:	01/29/2025

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