Provider Demographics
NPI:1265222418
Name:JEAN PIERRE, RICHENEL
Entity type:Individual
Prefix:
First Name:RICHENEL
Middle Name:
Last Name:JEAN PIERRE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 OAK AVE
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33972-8739
Mailing Address - Country:US
Mailing Address - Phone:857-346-3352
Mailing Address - Fax:
Practice Address - Street 1:1420 OAK AVE
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33972-8739
Practice Address - Country:US
Practice Address - Phone:857-346-3352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-10
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL386880376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide