Provider Demographics
NPI:1013540103
Name:SAINT JOHN, JARED (APRN)
Entity Type:Individual
Prefix:DR
First Name:JARED
Middle Name:
Last Name:SAINT JOHN
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3309 GARDENS EAST DR APT D
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-5709
Mailing Address - Country:US
Mailing Address - Phone:561-315-1499
Mailing Address - Fax:
Practice Address - Street 1:3309 GARDENS EAST DR APT D
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-5709
Practice Address - Country:US
Practice Address - Phone:561-315-1499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL111111363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily