Individual provider · Type 1 NPI
Jismi Theeyattuveli, NP
Nurse Practitioner · Mesa, AZ
Practice location
51 S 48th St
Mesa, AZ 85206-1250
Mailing address
4291 E Lexington Ave
Gilbert, AZ 85234-0729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 138064 (AZ) |
| Nurse Practitioner Primary | 363L00000X | 254316 (AZ) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
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About NPI 1285229534
Jismi Theeyattuveli, NP's National Provider Identifier is 1285229534, issued on Mar 8, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mesa, AZ. The record was last updated on Nov 14, 2022.