MEDICARE: GILBERT JEAN LOUIS APRN-FNP

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	363LF0000X	Family Nurse Practitioner	4030940	KY
2	363LF0000X	Family Nurse Practitioner	APRN11005311	FL

General Provider Information

NPI Number	:	1225676901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GILBERT JEAN LOUIS APRN-FNP

Provider Business Mailing Address
First Line	:	6692 WAVERLY LN
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7360
Country	:	US
Telephone Number	:	561-667-4082
Fax Number	:

Provider Business Practice Location Address
First Line	:	5069 OKEECHOBEE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-4533
Country	:	US
Telephone Number	:	561-714-9130
Fax Number	:	561-781-9857

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

Provider Enumeration Date	:	12/13/2019
Last Update Date	:	04/10/2025

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