Provider Demographics
NPI:1396386454
Name:JEAN-MICHEL, NATALY (APRN)
Entity Type:Individual
Prefix:MS
First Name:NATALY
Middle Name:
Last Name:JEAN-MICHEL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1190 NE 125TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5020
Mailing Address - Country:US
Mailing Address - Phone:305-891-7500
Mailing Address - Fax:305-985-6233
Practice Address - Street 1:1190 NE 125TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5020
Practice Address - Country:US
Practice Address - Phone:305-891-7500
Practice Address - Fax:305-985-6233
Is Sole Proprietor?:No
Enumeration Date:2019-09-30
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11004238363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health