Jardin Deden, Inc

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

JARDIN DEDEN, INC

Practice address

11830 NW 25TH Street
Plantation, FL 33323-1702

Phone

(754) 252-6690

Fax

(800) 574-5053

NPI assigned

Jun 1, 2020

Organization subpart

No

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

Authorized official

Name

Aurelie Doricent, NP

Title

Owner

Phone

(754) 252-6690

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1740804178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11830 NW 25TH STREET",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333231702",
            "telephone_number": "754-252-6690",
            "fax_number": "800-574-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11830 NW 25TH STREET",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333231702",
            "telephone_number": "754-252-6690",
            "fax_number": "800-574-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARDIN DEDEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "DORICENT",
        "authorized_official_first_name": "AURELIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-252-6690",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jardindeden0109@gmail.com",
            "affiliation": "N",
            "address_1": "11830 NW 25th street",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333231702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Plantation, FL
• Providers in Plantation, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.