Provider Demographics
NPI:1649998501
Name:ESSENTIAL HEALTHCARE & WELLNESS, LLC.
Entity type:Organization
Organization Name:ESSENTIAL HEALTHCARE & WELLNESS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN-FNP-BC
Authorized Official - Prefix:MISS
Authorized Official - First Name:LENIDE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-FNP-BC
Authorized Official - Phone:954-268-6345
Mailing Address - Street 1:7824 NW 20TH CT
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33322-3906
Mailing Address - Country:US
Mailing Address - Phone:954-268-6345
Mailing Address - Fax:
Practice Address - Street 1:7824 NW 20TH CT
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33322-3906
Practice Address - Country:US
Practice Address - Phone:954-268-6345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty