MRS. SOPHIA ETIENNE-JEAN PMHNP
NPI 1063234938
Nurse Practitioner - Psychiatric/Mental Health in Lake Worth, FL

Active since October 30, 2024
7859 LAKE WORTH RD, LAKE WORTH, FL 33467(561) 264-1138 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Sophia Etienne-jean Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SOPHIA ETIENNE-JEAN PMHNP (NPI 1063234938) is an individual psychiatric/mental health provider in Lake Worth, Florida, licensed in California (95037304) and active in the NPI registry since October 2024. She maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1063234938
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. SOPHIA ETIENNE-JEANCredential: PMHNP
Location Address7859 LAKE WORTH RDLake Worth, FL 33467-3225
Mailing Address10342 Medicis PlWellington, FL 33449-8068 · (786) 369-6505
Sole ProprietorYes
Enumeration DateOctober 30, 2024
Last NPPES UpdateNovember 11, 2025
NPPES CertifiedNovember 11, 2025
NPI 1063234938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in CA · 95037304 Licensed in FL · 11034245
7859 LAKE WORTH RD, Lake Worth, FL 33467

Secondary Practice Location 1

Location 110780 Santa Monica Blvd Ste 105Los Angeles, CA 90025-7613 · Phone (424) 320-4882

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
7859 LAKE WORTH RD
LAKE WORTH, FL 33467
Nurse Practitioner (Psychiatric/Mental Health)
7859 LAKE WORTH RD
LAKE WORTH, FL 33467
Nurse Practitioner (Family)
7859 LAKE WORTH RD
LAKE WORTH, FL 33467
Nurse Practitioner (Psychiatric/Mental Health)
7859 LAKE WORTH RD
LAKE WORTH, FL 33467
Family Medicine (Addiction Medicine)
7859 LAKE WORTH RD
LAKE WORTH, FL 33467
Nurse Practitioner
7859 LAKE WORTH RD
LAKE WORTH, FL 33467
Nurse Practitioner (Psychiatric/Mental Health)
7859 LAKE WORTH RD
LAKE WORTH, FL 33467
Nurse Practitioner (Psychiatric/Mental Health)
7859 LAKE WORTH RD
LAKE WORTH, FL 33467

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sophia Etienne-jean's NPI number?

The NPI number for Sophia Etienne-jean is 1063234938. It was assigned to this individual provider in the NPPES registry on October 30, 2024.

Where is Sophia Etienne-jean located?

Sophia Etienne-jean practices at 7859 Lake Worth Rd, Lake Worth, FL 33467. The listed phone number is (561) 264-1138.

What is Sophia Etienne-jean's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Sophia Etienne-jean was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.