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NPI Code Detail

MEDICARE: NINA M JELANI

MEDICARE: NINA M JELANI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251J00000XNursing Care Agency

General Provider Information

NPI Number : 1154283604
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA M JELANI
Provider Business Mailing Address
First Line : 3901 W MARYLAND AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85019-1437
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3901 W MARYLAND AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85019-1437
Country : US
Telephone Number : 623-242-7130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ NINA M JELANI ” Practice Location

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