Guilaine Jean-Gilles, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11030333 Issued in FL

Practice address

6170 Stillwater Ave
Port St John, FL 32927-8250

Phone

(321) 632-2486

NPI assigned

Jan 3, 2024

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1992575765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 STILLWATER AVE",
            "city": "PORT ST JOHN",
            "state": "FL",
            "postal_code": "329278250",
            "telephone_number": "321-632-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 STILLWATER AVE",
            "city": "PORT ST JOHN",
            "state": "FL",
            "postal_code": "329278250",
            "telephone_number": "321-632-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-GILLES",
        "first_name": "GUILAINE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11030333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven H Greenberg, D.C.
• Hars Drugs Inc
• Rosanne Marie Henry, M.D.
• Robert P Holfelder, PA-C
• Steven Lance Holmes, M.D.
• Nagamani Kurusanganapalli, M.D
• Katherine Penny Leonard, ARNP
• Eric Luzar, PHARMD
• Medfast Urgent Care Centers, LLC
• Shivani Mitra, MD

• All providers in Port St John, FL
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.