Individual
JEAN JUDE ALEXIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
120 BENCHLEY PL FRNT 2, BRONX, NY 10475-3402
(347) 843-7760
(347) 843-7780
Mailing address
6415 LAKE WORTH RD STE 207, GREENACRES, FL 33463-2904
(613) 288-4205
(561) 828-2884
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP11013685
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405853
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN11013685
BOARD OF NURSING
FL
Enumeration date
04/05/2021
Last updated
07/06/2024
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