IndividualActive
Jean Proulx
NPI 1053679365 · Prosthetic/Orthotic Supplier · Jacksonville, FL
Provider details
- NPI number
- 1053679365
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3132 Beach Boulevard
Jacksonville, FL 32207-3710
Phone: (904) 398-7118
Street-level locationGet directions
Mailing address
3132 Beach Boulevard
Jacksonville, FL 32207-3710
Registry dates
- Enumerated
- 2012-04-25
- Last updated
- 2012-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.