Individual
MISS JANIQUE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
7860 W COMMERCIAL BLVD STE 200, LAUDERHILL, FL 33351-4324
(786) 708-1214
(954) 827-3229
Mailing address
7860 W COMMERCIAL BLVD STE 200, LAUDERHILL, FL 33351-4324
(786) 708-1214
(954) 827-3229
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9311356
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346790474
—
FL
Enumeration date
10/13/2016
Last updated
05/10/2024
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