DR. JIMMY LAFAILLE


Address: 200 Knuth Rd Ste 214b, Boynton Beach, FL 33436-4636
Phone: 5613742472

DR. JIMMY LAFAILLE (NPI# 1811251911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811251911
Entity Type Individual
Full Name DR. JIMMY LAFAILLE
Other Name DR. JIMMY LAFAILLE
Credential DNP, APRN, FNP-BC
Practice Address 200 Knuth Rd Ste 214b
Boynton Beach
FL 33436-4636
Practice Telephone 5613742472
Practice Fax Number 9494048191
Mailing Telephone 5613742472
Mailing Fax Number 9494048191
Enumeration Date 2012-07-03
Last Update Date 2019-08-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner APRN9183076 FL Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
ARNP 9183076 FL Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
9183076 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 200 KNUTH RD STE 214B
City BOYNTON BEACH
State FL
Zip Code 33436-4636

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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1679517551 Karlene Harris Nurse Practitioner 8200 Jog Rd, Ste 100, Boynton Beach, FL 33437-2981 2006-06-15

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Competitor

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City BOYNTON BEACH
Zip Code 33436

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Dataset Information

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.

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