Provider Demographics
NPI:1184109589
Name:BIENAIME, JOANNE (DNP, C-PNP-CP)
Entity type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:
Last Name:BIENAIME
Suffix:
Gender:F
Credentials:DNP, C-PNP-CP
Other - Prefix:MRS
Other - First Name:JOANNE
Other - Middle Name:
Other - Last Name:ISME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:235 E MURROW LN
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-0080
Mailing Address - Country:US
Mailing Address - Phone:904-599-9723
Mailing Address - Fax:
Practice Address - Street 1:100 BREWSTER BLVD
Practice Address - Street 2:
Practice Address - City:CAMP LEJEUNE
Practice Address - State:NC
Practice Address - Zip Code:28547-2575
Practice Address - Country:US
Practice Address - Phone:910-450-4722
Practice Address - Fax:910-451-3079
Is Sole Proprietor?:No
Enumeration Date:2018-10-02
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9316541363L00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner