Jean-Pierre, Imelda

Jean-Pierre, Imelda is an individual health care provider with primary practice located at 1600 S Andrews Ave Phoenix Obstetrics/Gynecology, Llc, Ft Lauderdale FL 33316-2510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Jean-Pierre, Imelda can be contacted via phone (954) 355-5110.

Contact Information

Primary practice address
1600 S Andrews Ave Phoenix Obstetrics/Gynecology, Llc Ft Lauderdale FL 33316-2510
Phone: (954) 355-5110
Fax: (954) 355-4919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP2246082 Florida

Profile Details

NPI number 1922097963
LBN Legal business name Jean-Pierre, Imelda
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Feb 25th, 2014 - about 11 years ago

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 1922097963 NPPES
Florida MEDICAID 301674900

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