Individual provider · NPI-1

Jacques Bernard

Home Health Aide · Port St Lucie, FL

NPI number1124702691
StatusActive
Last updated in NPPESJun 14, 2023

Details

NPI
1124702691
Entity type
Individual (NPI-1)
Name
Mr. Jacques Bernard
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 14, 2023
Certification date
Jun 13, 2023
Last updated
Jun 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

3563 Sw Parsons St
Port St Lucie, FL 34953-5044

Phone 845-260-4479

Mailing address

3563 Sw Parsons St
Port St Lucie, FL 34953-5044

Phone 845-260-4479

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