Provider Demographics
NPI:1710546510
Name:JOVIN, NADINE II
Entity Type:Individual
Prefix:
First Name:NADINE
Middle Name:
Last Name:JOVIN
Suffix:II
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 1:5621 WASHINGTON ST APT F87
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33023-7451
Mailing Address - Country:US
Mailing Address - Phone:786-413-5366
Mailing Address - Fax:
Practice Address - Street 1:5621 WASHINGTON ST APT F87
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33023-7451
Practice Address - Country:US
Practice Address - Phone:786-413-5366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider