Jeangardy Jacquet

Primary specialty

DriverTaxonomy code 172A00000X

License

J230-420-89-047-0 Issued in FL

Practice address

4404 Creeks Run Blvd
Kissimmee, FL 34746-2300

Phone

(407) 904-0255

NPI assigned

Dec 6, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607212800000",
    "number": "1073119004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 CREEKS RUN BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347462300",
            "telephone_number": "407-904-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 CREEKS RUN BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347462300",
            "telephone_number": "407-904-0255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4404 Creeks Run Blvd",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347462300",
            "country_code": "US",
            "telephone_number": "407-904-0255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACQUET",
        "first_name": "JEANGARDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-06",
        "last_updated": "2020-12-06",
        "certification_date": "2020-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "FL",
            "license": "J230-420-89-047-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KISSIMMEE",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4404 Creeks Run Blvd",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347462300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maureen Ann Jackson, PHARM. D
• Shynetra Jackson
• Brooke Jacobs, OTR/L, OTD
• Karen Jacobs, ARNP
• Jennifer Jacques Lalanne, APRN
• Susan H. Jacquot, D.D.S.
• Kawattie Jadoo
• Katie Anne Jadra, PHARMD
• Sushmita Divya Jadubans, OTD, OTR/L
• Jag Health & Care LLC

• Driver in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Driver in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.