Provider Demographics
NPI:1255837852
Name:JEAN-LOUIS, MARLINE F (ARNP-BC)
Entity Type:Individual
Prefix:
First Name:MARLINE
Middle Name:F
Last Name:JEAN-LOUIS
Suffix:
Gender:F
Credentials:ARNP-BC
Other - Prefix:
Other - First Name:MARLINE
Other - Middle Name:F
Other - Last Name:JEAN-LOUIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MARLINE FERRIER
Mailing Address - Street 1:16134 MUNI RD APT 3
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-1374
Mailing Address - Country:US
Mailing Address - Phone:786-365-4870
Mailing Address - Fax:
Practice Address - Street 1:2001 W 68TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1898
Practice Address - Country:US
Practice Address - Phone:305-823-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95011520363LF0000X
FLAPRN9305917363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily