MS. PHENISE JEAN NURSE PRACTITIONER NPI 1285249714

NPI Information

  • NPI: 1285249714
  • Provider Name: MS. PHENISE JEAN, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7230 ALLEN DR
    HOLLYWOOD, FL
    ZIP 33024
  • Phone: (813) 325-1399

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NPI Details

MS. Phenise Jean, NURSE PRACTITIONER is an adult health nurse practitioner in Hollywood, FL. MS. Phenise Jean, NURSE PRACTITIONER NPI is 1285249714. 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:

7230 ALLEN DR
HOLLYWOOD, FL
ZIP 33024-150
Phone: (813) 325-1399

The NPI 1285249714 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/11/2020 and was last updated on 9/11/2020.

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
1363LA2200XNurse PractitionerAdult Health11008959FLORIDAYes

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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