Provider Demographics
NPI:1295629657
Name:LOUIMAIRE, JACQUELINE DANIELLE (ARNP)
Entity type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:DANIELLE
Last Name:LOUIMAIRE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:3321 WHITESTONE CIR UNIT 206
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-7802
Mailing Address - Country:US
Mailing Address - Phone:407-791-4921
Mailing Address - Fax:
Practice Address - Street 1:2801 17TH ST STE 202
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-4939
Practice Address - Country:US
Practice Address - Phone:407-906-1328
Practice Address - Fax:407-906-1328
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL11039790363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner