Individual
CHRISMENE ST JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2328 10TH AVE N STE 201, LAKE WORTH, FL 33461-6612
(561) 444-3771
Mailing address
2328 10TH AVE N STE 201, LAKE WORTH, FL 33461-6612
(561) 444-3771
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11020525
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-OTHER
N/A
—
Enumeration date
08/14/2022
Last updated
07/19/2023
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