Harry Jean, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP 9385232 Issued in FL

Practice address

1021 Health Park Dr
Moore Haven, FL 33471-6206

Phone

(863) 946-0405

NPI assigned

Dec 17, 2015

Last updated

Mar 4, 2022By the provider in NPPES

Sex

Male

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1659736767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 JFK DR",
            "address_2": "STE B",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334621153",
            "telephone_number": "561-966-7717",
            "fax_number": "888-316-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 HEALTH PARK DR",
            "city": "MOORE HAVEN",
            "state": "FL",
            "postal_code": "334716206",
            "telephone_number": "863-946-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "HARRY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-17",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9385232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Elizabeth Green, D.M.D.
• Stephanie Anne Heredia
• Benjamin Eduardo Hernandez, NURSE PRACTITIONER
• Kristen L Horn, M.ED, RBT
• Lyonel A. Jean-Baptiste, M.D.
• Johnson Riverside Family Practice LLC
• Jennifer Nichole Johnson, APRN
• Juslain Jonathas
• Emmanuel Noel, M.D.
• Orchid Medical Group LLC

• Family Nurse Practitioner in Moore Haven, FL
• Providers in Moore Haven, 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 Mar 4, 2022; 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.