Individual provider · Type 1 NPI

Jeannine Antonella Icaza, APRN

Nurse Practitioner · Coral Gables, FL

NPI number 1689427197 Active

Practice location

1240 S Dixie Hwy
Coral Gables, FL 33146-2902

Mailing address

10273 SW 116th St # At
Miami, FL 33176-4047

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11005030 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1689427197

Jeannine Antonella Icaza, APRN's National Provider Identifier is 1689427197, issued on Apr 8, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Coral Gables, FL. The record was last updated on May 13, 2024.