Provider Demographics
NPI:1831469477
Name:JACQUES, EVA MIREILLE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:EVA
Middle Name:MIREILLE
Last Name:JACQUES
Suffix:
Gender:
Credentials:ARNP
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Other - Credentials:
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:305-500-2000
Mailing Address - Fax:
Practice Address - Street 1:480 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2834
Practice Address - Country:US
Practice Address - Phone:954-791-9580
Practice Address - Fax:888-498-4463
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-11
Last Update Date:2025-03-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP3082172363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health