Provider Demographics
NPI:1356891915
Name:JACQUES, YVELINE (DNP)
Entity type:Individual
Prefix:DR
First Name:YVELINE
Middle Name:
Last Name:JACQUES
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 NW 95TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33150-2038
Mailing Address - Country:US
Mailing Address - Phone:305-835-6000
Mailing Address - Fax:
Practice Address - Street 1:6100 GLADES RD STE 311
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-4325
Practice Address - Country:US
Practice Address - Phone:561-931-0381
Practice Address - Fax:561-264-3153
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-07
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9299058363LP0808X
FLARNP 9299058363LP2300X
FLARNP9299058363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care