Provider Demographics
NPI:1215456009
Name:PIERRE, JANEL
Entity type:Individual
Prefix:
First Name:JANEL
Middle Name:
Last Name:PIERRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:LANDY
Other - Middle Name:
Other - Last Name:DESTINE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:3800 INVERRARY BLVD
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-4382
Mailing Address - Country:US
Mailing Address - Phone:954-900-4256
Mailing Address - Fax:
Practice Address - Street 1:3800 INVERRARY BLVD
Practice Address - Street 2:101K
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33319
Practice Address - Country:US
Practice Address - Phone:954-900-4256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-13
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider