Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaison Chakkappan Eluvathingal, NURSEPRACTITONER

Individual provider Nurse Practitioner · NPI 1891110342

Jaison Chakkappan Eluvathingal, NURSEPRACTITONER is a Nurse Practitioner in Davie, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in California and Florida.

Licensed in
CA, FL
In the registry since
2014
Specialties on file
6
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Practice location Address checks out

8958 W State Road 84 Ste 342
Davie, FL 33324-4457
Phone: (914) 602-6209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence ARNP9315515 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 95370739 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 9315515 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 95370739 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 95370739 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 95370739 (CA)

Record details

NPI number1891110342
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITONER
Sole proprietorYes
NPI enumeratedFebruary 20, 2014
Last updated in NPPESNovember 21, 2025
Certification dateNovember 21, 2025

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