Provider Demographics
NPI:1679156939
Name:AMIEL, JHNELLE
Entity type:Individual
Prefix:
First Name:JHNELLE
Middle Name:
Last Name:AMIEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2915 BISCAYNE BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-4197
Mailing Address - Country:US
Mailing Address - Phone:954-393-0487
Mailing Address - Fax:
Practice Address - Street 1:2915 BISCAYNE BLVD STE 300
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-4197
Practice Address - Country:US
Practice Address - Phone:954-393-0487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-04
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374K00000XNursing Service Related ProvidersReligious Nonmedical Practitioner