Healthcare Provider Details

I. General information

NPI: 1801729264
Provider Name (Legal Business Name): JAZMIN ARAUJO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 BAPTIST WAY
PENSACOLA FL
32503-2254
US

IV. Provider business mailing address

730 SW 78TH AVE APT 823
PLANTATION FL
33324-3491
US

V. Phone/Fax

Practice location:
  • Phone: 448-227-8478
  • Fax:
Mailing address:
  • Phone: 856-220-3076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRN9555487
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: