MS. PHENISE JEAN


Address: 7230 Allen Dr, Hollywood, FL 33024-7150
Phone: 8133251399

MS. PHENISE JEAN (NPI# 1285249714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285249714
Entity Type Individual
Full Name MS. PHENISE JEAN
Credential NURSE PRACTITIONER
Practice Address 7230 Allen Dr
Hollywood
FL 33024-7150
Practice Telephone 8133251399
Mailing Telephone 8133251399
Enumeration Date 2020-09-11
Last Update Date 2020-09-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
11008959 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7230 ALLEN DR
City HOLLYWOOD
State FL
Zip Code 33024-7150

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710522016 Abbdady Charles Nurse Practitioner 2839 Taylor St Apt 8, Hollywood, FL 33020-4277 2019-11-10
1922666312 Concepcion Fornaris Caballero Nurse Practitioner 6351 Adams St, Hollywood, FL 33023-1749 2019-05-31
1992292106 Madeleine Mariela Reyes Nurse Practitioner 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 2018-04-13
1003329152 Bella Gleiser Mendez Nurse Practitioner 1150 N 35th Ave Ste 385, Hollywood, FL 33021-5429 2017-11-13
1760867410 Therapeutic Recreational Activities, LLC Nurse Practitioner 221 N 46th Ave, Hollywood, FL 33021-6603 2015-07-23
1417292509 Irina Rafailovna Rozenfeld Nurse Practitioner 1930 Harrison St Ste 404, Hollywood, FL 33020-7829 2012-11-30
1952678773 Tanya-ann Marie Rausch Nurse Practitioner 4000 Sheridan Street, Suite A, Hollywood, FL 33021 2011-11-22
1427077742 Deisy Diaz Nurse Practitioner 6750 Taft St, Hollywood, FL 33024-3903 2006-07-18
1477559961 Maria C Barrientos Nurse Practitioner 3501 Johnson Street, Third Floor, Hollywood, FL 33021-5421 2005-06-21
1063073021 Shama R Gresseau Nurse Practitioner 3702 Washington St Ste 303, Hollywood, FL 33021-8287 2019-06-21
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Competitor

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City HOLLYWOOD
Zip Code 33024

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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