Provider Demographics
NPI:1235704149
Name:PIERRE, JEAN MARIE (ARNP)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:MARIE
Last Name:PIERRE
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11905 NE 2ND AVE APT 314
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-6141
Mailing Address - Country:US
Mailing Address - Phone:786-587-5822
Mailing Address - Fax:
Practice Address - Street 1:11905 NE 2ND AVE APT 314
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-6141
Practice Address - Country:US
Practice Address - Phone:786-587-5822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11013194363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily