Deluisa, Jason Beau

Deluisa, Jason Beau is an individual health care provider with primary practice located at 15919 29Th St E , Parrish FL 34219-1854. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Deluisa, Jason Beau can be contacted via phone (505) 331-0295.

Contact Information

Primary practice address
15919 29Th St E Parrish FL 34219-1854
Phone: (505) 331-0295
Fax: (907) 865-2433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 117659 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP-01518 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 117659 Alaska

Profile Details

NPI number 1629200894
LBN Legal business name Deluisa, Jason Beau
Credentials ANP,CNP, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2009
Last updated Sep 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629200894 NPPES
Alaska MEDICAID 1666771
Alaska MEDICAID 37805771

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