GARDINE JACQUES ARNP NPI 1720357023

NPI Information

NPI: 1720357023
Provider Name: GARDINE JACQUES, ARNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
7727 LAKE UNDERHILL RD
GLYCEMIC MANAGMENT OFFICE
ORLANDO, FL
ZIP 32822
Phone: (407) 303-6749
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Gardine Jacques, ARNP is a psychiatric/mental health nurse practitioner in Orlando, FL with 13 years of experience. Gardine Jacques, ARNP NPI is 1720357023. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7727 LAKE UNDERHILL RD
GLYCEMIC MANAGMENT OFFICE
ORLANDO, FL
ZIP 32822-224
Phone: (407) 303-6749

The NPI 1720357023 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/15/2011 and was last updated on 4/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		ARNP9205667	FLORIDA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN9205667	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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