Individual
JEANIQUE MICHELLE JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7808 LAKESIDE WOODS DRIVE, ORLANDO, FL 32810
(407) 294-9593
Mailing address
7808 LAKESIDE WOODS DRIVE, ORLANDO, FL 32810
(407) 294-9593
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9667268
FL
164W00000X
Licensed Practical Nurse
Primary
1358531
FL
Other
Enumeration date
10/29/2010
Last updated
02/18/2026
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