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NPI Code Detail

MEDICARE: JASMINE AVEA ELIA DNP, APRN, PMHNP- BC

MEDICARE: JASMINE AVEA ELIA DNP, APRN, PMHNP- BC
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP61218114WA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN325908AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11275286098OTHERWAGROUP NPI
21952984510OTHERWANPI INDIVIDUAL

General Provider Information

NPI Number : 1952984510
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE AVEA ELIA DNP, APRN, PMHNP- BC
Provider Business Mailing Address
First Line : 16220 N SCOTTSDALE RD STE 300
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-1798
Country : US
Telephone Number : 602-860-5754
Fax Number :
Provider Business Practice Location Address
First Line : 16220 N SCOTTSDALE RD STE 300
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254-1798
Country : US
Telephone Number : 602-860-5754
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2021
Last Update Date : 11/06/2025

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