Provider Demographics
NPI:1710478367
Name:JONAS, TRIFINA BERNISTA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:TRIFINA
Middle Name:BERNISTA
Last Name:JONAS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 NW 78TH TER
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-4721
Mailing Address - Country:US
Mailing Address - Phone:954-579-6938
Mailing Address - Fax:
Practice Address - Street 1:165 NW 78TH TER
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-4721
Practice Address - Country:US
Practice Address - Phone:954-579-6938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-18
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9164905363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily