Provider Demographics
NPI:1588253298
Name:NOEL JEUNE, JACQUES ROBIN
Entity type:Individual
Prefix:
First Name:JACQUES
Middle Name:ROBIN
Last Name:NOEL JEUNE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 WOODLAND RD
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-1073
Mailing Address - Country:US
Mailing Address - Phone:561-907-2392
Mailing Address - Fax:
Practice Address - Street 1:292 WOODLAND RD
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-1073
Practice Address - Country:US
Practice Address - Phone:561-907-2392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-16
Last Update Date:2021-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH484816163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse