Provider Demographics
NPI:1184419012
Name:FERDINAND, JEANETTE FRANCISCA (RN)
Entity type:Individual
Prefix:
First Name:JEANETTE
Middle Name:FRANCISCA
Last Name:FERDINAND
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 764
Mailing Address - Street 2:
Mailing Address - City:KINGSHILL
Mailing Address - State:VI
Mailing Address - Zip Code:00851-0764
Mailing Address - Country:US
Mailing Address - Phone:340-332-0774
Mailing Address - Fax:
Practice Address - Street 1:4031 LA GRANDE PRINCESSE
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820
Practice Address - Country:US
Practice Address - Phone:340-473-9502
Practice Address - Fax:678-926-3972
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI104889163W00000X
MN2506212163W00000X
CA95346759163W00000X
VI13350163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse