MRS. SOPHIA ETIENNE-JEAN PMHNP NPI 1063234938

NPI Information

  • NPI: 1063234938
  • Provider Name: MRS. SOPHIA ETIENNE-JEAN, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 7859 LAKE WORTH RD
    LAKE WORTH, FL
    ZIP 33467
  • Phone: (561) 264-1138

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NPI Details

MRS. Sophia Etienne-jean, PMHNP is a psychiatric/mental health nurse practitioner in Lake Worth, FL. MRS. Sophia Etienne-jean, PMHNP NPI is 1063234938. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7859 LAKE WORTH RD
LAKE WORTH, FL
ZIP 33467-225
Phone: (561) 264-1138

The enumeration date for this NPI number is 10/30/2024 and was last updated on 11/11/2025.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health95037304CALIFORNIAYes
2363LP0808XNurse PractitionerPsychiatric/Mental Health11034245FLORIDANo

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: 11/21/2025

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