Provider Demographics
NPI:1255708533
Name:JEAN-PAUL, MARTINE (RN)
Entity type:Individual
Prefix:MRS
First Name:MARTINE
Middle Name:
Last Name:JEAN-PAUL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1434 BRIAN WAY FL 33417
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-5414
Mailing Address - Country:US
Mailing Address - Phone:561-317-4752
Mailing Address - Fax:
Practice Address - Street 1:1434 BRIAN WAY
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-5414
Practice Address - Country:US
Practice Address - Phone:561-317-4752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-21
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9184296163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL599077Medicaid