Provider Demographics
NPI:1801239637
Name:GUERRIER, JEAN WILLEM JR (FNP)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:WILLEM
Last Name:GUERRIER
Suffix:JR
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4610 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3818
Mailing Address - Country:US
Mailing Address - Phone:305-562-3115
Mailing Address - Fax:
Practice Address - Street 1:1501 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-7512
Practice Address - Country:US
Practice Address - Phone:305-562-3115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-11
Last Update Date:2025-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3307632363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily