Provider Demographics
NPI:1245124072
Name:JEWELSXAESTHETICS, LLC
Entity type:Organization
Organization Name:JEWELSXAESTHETICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LORENZO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:561-506-9925
Mailing Address - Street 1:11013 MERIDIAN DR N
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4616
Mailing Address - Country:US
Mailing Address - Phone:561-506-9925
Mailing Address - Fax:
Practice Address - Street 1:7271 N STATE ROAD 7 STE 804
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33073-4526
Practice Address - Country:US
Practice Address - Phone:561-506-9925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty