Individual provider · Type 1 NPI

Jaison Chakkappan Eluvathingal, NURSE PRACTITONER

Psychiatric/Mental Health Nurse Practitioner · Davie, FL

NPI number 1891110342 Active

Practice location

8958 W State Road 84 Ste 342
Davie, FL 33324-4457

Other practice locations

  • 10780 Santa Monica Blvd Ste 105, Los Angeles, CA 90025-7613 · (424) 521-1066

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X95370739 (CA)
Family Nurse Practitioner 363LF0000X9315515 (FL)
Physician Assistant 363A00000X95370739 (CA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XARNP9315515 (FL)
Medical Physician Assistant 363AM0700X95370739 (CA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X95370739 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1891110342

Jaison Chakkappan Eluvathingal, NURSE PRACTITONER's National Provider Identifier is 1891110342, issued on Feb 20, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Davie, FL. The record was last updated on Nov 21, 2025.