Provider Demographics
NPI:1235859216
Name:JOURDAIN, STERLIN (MS, APRN, CRNA)
Entity type:Individual
Prefix:MR
First Name:STERLIN
Middle Name:
Last Name:JOURDAIN
Suffix:
Gender:M
Credentials:MS, APRN, CRNA
Other - Prefix:
Other - First Name:STERLIN
Other - Middle Name:
Other - Last Name:JOUDAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:692 LOCKE POINTE DR NE
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-3274
Mailing Address - Country:US
Mailing Address - Phone:561-809-4320
Mailing Address - Fax:
Practice Address - Street 1:14000 FIVAY RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-7103
Practice Address - Country:US
Practice Address - Phone:727-819-2929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11022178367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered