Individual
JAN MICHAEL BERNAL TRINIDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
836 PRUDENTIAL DR STE 1400, JACKSONVILLE, FL 32207-8340
(904) 388-6518
(904) 384-1005
Mailing address
PO BOX 746647, ATLANTA, GA 30374-6647
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9285575
FL
363L00000X
Nurse Practitioner
Primary
ARNP9285575
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003156756A
—
GA
05
—
014218500
—
FL
Enumeration date
10/27/2014
Last updated
02/18/2026
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