Provider Demographics
NPI:1891687034
Name:JEAN, DAPHNEY GEORGINA (NP)
Entity type:Individual
Prefix:
First Name:DAPHNEY
Middle Name:GEORGINA
Last Name:JEAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4741 LUCIER CT APT 4
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-9164
Mailing Address - Country:US
Mailing Address - Phone:321-368-4294
Mailing Address - Fax:
Practice Address - Street 1:4741 LUCIER CT APT 4
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-9164
Practice Address - Country:US
Practice Address - Phone:321-368-4294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11039258363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health