Jean Renald Dorfeuille, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN9437644 Issued in FL

Practice address

5975 W Sunrise Blvd Ste 119
Plantation, FL 33313-6800

Phone

(954) 368-6856

NPI assigned

May 10, 2025

Last updated

May 10, 2025By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1746835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746835200000",
    "number": "1952191199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3194 MARION AVE",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330638003",
            "telephone_number": "561-900-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 W SUNRISE BLVD STE 119",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333136800",
            "telephone_number": "954-368-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORFEUILLE",
        "first_name": "JEAN RENALD",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-10",
        "last_updated": "2025-05-10",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN9437644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Allison Donner, R PT
• Jon David Donshik, M.D.
• Kaitlyn Doolittle, DMD
• Kelly Dor
• Fernando Doreus
• Aurelie Doricent
• Myriam Dormervil
• Samuel O. Dorn, D.D.S.
• Orly Doron, LCSW
• Dorothy V Straw

• 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 May 10, 2025; 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.