Individual
JEAN DESIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-7100
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1111
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11029057
FL
Other
Enumeration date
04/22/2024
Last updated
06/08/2024
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