Provider Demographics
NPI:1639548191
Name:GERMAIN, JOUFFLIE
Entity Type:Individual
Prefix:
First Name:JOUFFLIE
Middle Name:
Last Name:GERMAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:463063 STATE ROAD 200 STE 305
Mailing Address - Street 2:
Mailing Address - City:YULEE
Mailing Address - State:FL
Mailing Address - Zip Code:32097-5500
Mailing Address - Country:US
Mailing Address - Phone:561-727-4574
Mailing Address - Fax:
Practice Address - Street 1:463063 STATE ROAD 200 STE 305
Practice Address - Street 2:
Practice Address - City:YULEE
Practice Address - State:FL
Practice Address - Zip Code:32097-5500
Practice Address - Country:US
Practice Address - Phone:561-727-4574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician