Gabriel-Jacques, Charlyne

Gabriel-Jacques, Charlyne is an sole proprietor health care provider with primary practice located at 200 Oceangate Ste 100 , Long Beach CA 90802-4317. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gabriel-Jacques, Charlyne can be contacted via phone (305) 382-4161.

Contact Information

Primary practice address
200 Oceangate Ste 100 Long Beach CA 90802-4317
Phone: (305) 382-4161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP9213937 Florida
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP9213937 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9213937 Florida

Profile Details

NPI number 1154577732
LBN Legal business name Gabriel-Jacques, Charlyne
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2008
Last updated Oct 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154577732 NPPES
Florida MEDICAID 000342500

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