Provider Demographics
NPI:1912879453
Name:JEAN-LOUIS, YSNIQUE
Entity type:Individual
Prefix:
First Name:YSNIQUE
Middle Name:
Last Name:JEAN-LOUIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4413 HARBOUR TOWN DR
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1081
Mailing Address - Country:US
Mailing Address - Phone:301-768-2865
Mailing Address - Fax:
Practice Address - Street 1:4201 BUTTERWORTH PL NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-4538
Practice Address - Country:US
Practice Address - Phone:301-768-2865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion