Individual
JEANETTE FALCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
6080 E 2ND AVE, HIALEAH, FL 33013-1056
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11003733
FL
363LA2200X
Adult Health Nurse Practitioner
11003733
FL
Other
Enumeration date
03/24/2020
Last updated
11/18/2020
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