Active NPI
Jeena John
- Family Nurse Practitioner
- Pembroke Pines, FL
National Provider Identifier
1124972989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11043475
- Practice address
- 342 SW 187TH Ter
Pembroke Pines, FL 33029-5436 - Phone
- (954) 249-2833
- NPI assigned
- Feb 26, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11043475 | FL | Primary |
Addresses
Primary practice location
342 SW 187TH Ter
Pembroke Pines, FL 33029-5436
Mailing address
342 SW 187TH Ter
Pembroke Pines, FL 33029-5436
Phone (954) 249-2833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11043475 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1124972989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 SW 187TH TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330295436",
"telephone_number": "954-249-2833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 SW 187TH TER",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330295436",
"telephone_number": "954-249-2833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "JEENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-26",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11043475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.