MS. PHENISE JEAN (NPI# 1285249714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285249714 |
| Entity Type | Individual |
| Full Name | MS. PHENISE JEAN |
| Credential | NURSE PRACTITIONER |
| Practice Address |
7230 Allen Dr Hollywood FL 33024-7150 |
| Practice Telephone | 8133251399 |
| Mailing Telephone | 8133251399 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
11008959 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7230 ALLEN DR |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33024-7150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710522016 | Abbdady Charles | Nurse Practitioner | 2839 Taylor St Apt 8, Hollywood, FL 33020-4277 | 2019-11-10 |
| 1922666312 | Concepcion Fornaris Caballero | Nurse Practitioner | 6351 Adams St, Hollywood, FL 33023-1749 | 2019-05-31 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1003329152 | Bella Gleiser Mendez | Nurse Practitioner | 1150 N 35th Ave Ste 385, Hollywood, FL 33021-5429 | 2017-11-13 |
| 1760867410 | Therapeutic Recreational Activities, LLC | Nurse Practitioner | 221 N 46th Ave, Hollywood, FL 33021-6603 | 2015-07-23 |
| 1417292509 | Irina Rafailovna Rozenfeld | Nurse Practitioner | 1930 Harrison St Ste 404, Hollywood, FL 33020-7829 | 2012-11-30 |
| 1952678773 | Tanya-ann Marie Rausch | Nurse Practitioner | 4000 Sheridan Street, Suite A, Hollywood, FL 33021 | 2011-11-22 |
| 1427077742 | Deisy Diaz | Nurse Practitioner | 6750 Taft St, Hollywood, FL 33024-3903 | 2006-07-18 |
| 1477559961 | Maria C Barrientos | Nurse Practitioner | 3501 Johnson Street, Third Floor, Hollywood, FL 33021-5421 | 2005-06-21 |
| 1063073021 | Shama R Gresseau | Nurse Practitioner | 3702 Washington St Ste 303, Hollywood, FL 33021-8287 | 2019-06-21 |
| Find all providers in HOLLYWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.