Jean Robert Celicourt Celicourt
Nurse Practitioner, Psych/Mental Health in North Lauderdale, FL. Individual provider (NPI-1).
Details
- NPI
- 1164049250
- Entity type
- Individual (NPI-1)
- Name
- Jean Robert Celicourt Celicourt
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 6, 2020
- Certification date
- Jul 16, 2025
- Last updated
- Jul 16, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 11007843 | FL | Yes |
| 363LF0000X | Nurse Practitioner, Family | 11007843 | FL |
Practice location
1409 Sw 82nd AveNorth Lauderdale, FL 33068-3512
Phone 917-562-9516
Mailing address
1409 Sw 82nd AveNorth Lauderdale, FL 33068-3512
Phone 917-562-9516
Other practice locations
Royal Palm Beach, FL 33411-7644
Phone 917-562-9516
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatric/Mental Health Nurse Practitioner providers in North Lauderdale, FL
- Sandea Exius, APRNNPI 1801790530
- Olgine Louis Dort, APRNNPI 1033886437
- Nathalie Monuma, ARNPNPI 1477855005
- Wholemind Mental Health, LLC.NPI 1184537987
All 5 Psychiatric/Mental Health Nurse Practitioner providers in North Lauderdale · All 342 providers in North Lauderdale
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.