JAISON CHAKKAPPAN ELUVATHINGAL NURSE PRACTITONER NPI 1891110342

NPI Information

  • NPI: 1891110342
  • Provider Name: JAISON CHAKKAPPAN ELUVATHINGAL, NURSE PRACTITONER
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8958 W STATE ROAD 84 STE 342
    DAVIE, FL
    ZIP 33324
  • Phone: (914) 602-6209

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NPI Details

Jaison Chakkappan Eluvathingal, NURSE PRACTITONER is a psychiatric/mental health nurse practitioner in Davie, FL. Jaison Chakkappan Eluvathingal, NURSE PRACTITONER NPI is 1891110342. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8958 W STATE ROAD 84 STE 342
DAVIE, FL
ZIP 33324-457
Phone: (914) 602-6209

The NPI 1891110342 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 2/20/2014 and was last updated on 11/21/2025.

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
1363L00000XNurse Practitioner95370739CALIFORNIANo
2363LF0000XNurse PractitionerFamily9315515FLORIDANo
3363A00000XPhysician Assistant95370739CALIFORNIANo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthARNP9315515FLORIDAYes
5363AM0700XPhysician AssistantMedical95370739CALIFORNIANo
6363LP0808XNurse PractitionerPsychiatric/Mental Health95370739CALIFORNIANo

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: 11/21/2025

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