JWAN ODISHO AGACNP NPI 1912668500

NPI Information

NPI: 1912668500
Provider Name: JWAN ODISHO, AGACNP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1900 N HIGLEY RD
GILBERT, AZ
ZIP 85234
Phone: (480) 543-2363
Get Directions

Jwan Odisho, AGACNP is an acute care nurse practitioner in Gilbert, AZ with 3 years of experience. Jwan Odisho, AGACNP NPI is 1912668500. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1900 N HIGLEY RD
GILBERT, AZ
ZIP 85234-604
Phone: (480) 543-2363

The NPI 1912668500 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/5/2022 and was last updated on 3/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WX0200X	Registered Nurse	Oncology	RN208331	ARIZONA	No
2	363LA2100X	Nurse Practitioner	Acute Care	269456	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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