Provider Demographics
NPI:1982683389
Name:JEANNE FILS ARNP, INC
Entity Type:Organization
Organization Name:JEANNE FILS ARNP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILS
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:954-465-8691
Mailing Address - Street 1:1099 BIRCHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327
Mailing Address - Country:US
Mailing Address - Phone:954-465-8691
Mailing Address - Fax:954-349-8691
Practice Address - Street 1:1099 BIRCHWOOD RD
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33327-1816
Practice Address - Country:US
Practice Address - Phone:954-465-8691
Practice Address - Fax:954-349-8691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-13
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5167Medicare PIN