Provider Demographics
NPI:1558403048
Name:NIEVES, JO ANN (ARNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JO ANN
Middle Name:
Last Name:NIEVES
Suffix:
Gender:F
Credentials:ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11824 NW 9TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-5042
Mailing Address - Country:US
Mailing Address - Phone:954-755-2253
Mailing Address - Fax:305-662-8304
Practice Address - Street 1:3100 SW 62ND AVE
Practice Address - Street 2:MIAMI CHILDREN'S HOSPITAL, CARDIOLOGY
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3009
Practice Address - Country:US
Practice Address - Phone:786-624-4344
Practice Address - Fax:305-662-8304
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1969132363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care