Exillette Etienne Camille, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F11190577 Issued in FL

Practice address

1905 Clint Moore Rd
Boca Raton, FL 33496-2658

Phone

(561) 288-6153

Fax

(561) 288-6087

NPI assigned

Dec 31, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1255970760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5493 BARNSTEAD CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636674",
            "telephone_number": "561-577-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962658",
            "telephone_number": "561-288-6153",
            "fax_number": "561-288-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMILLE",
        "first_name": "EXILLETTE",
        "middle_name": "ETIENNE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F11190577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Emilio Calpey
• Rene Enrique Camacho- Cordoba
• Shelly M Cambell, NURSE PRACTITIONER
• Dori Cameron
• Beth Camhi-Greenberg, ARNP.-BC
• Michael Wesley Cammarata, MD
• Amy Camnitz, M.A.,CCC-SLP
• Felisia Martina Campbell
• Jonathon James Campbell, MD
• Latisha Rochelle Campbell, CNM ARNP

• Family Nurse Practitioner in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.