Provider Demographics
NPI:1942847751
Name:JEAN JACQUES, GUERNICA (CNA)
Entity Type:Individual
Prefix:MISS
First Name:GUERNICA
Middle Name:
Last Name:JEAN JACQUES
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3486 BRIAR BAY BLVD APT 206
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-7405
Mailing Address - Country:US
Mailing Address - Phone:561-598-1734
Mailing Address - Fax:
Practice Address - Street 1:140 BILBAO ST
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1342
Practice Address - Country:US
Practice Address - Phone:561-513-2086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-01
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
347C00000X, 376J00000X, 385H00000X
FLCNA250791374U00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No347C00000XTransportation ServicesPrivate Vehicle
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker
No385H00000XRespite Care FacilityRespite Care