Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jwan Odisho, AGACNP-BC

Individual provider Nurse Practitioner · NPI 1912668500

Jwan Odisho, AGACNP-BC is a Nurse Practitioner in Gilbert, Arizona. Qualified in 2021, 5 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2022
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Practice location Address checks out

1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone: (480) 543-2363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 — (480) 301-8000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 269456 (AZ)

Record details

NPI number1912668500
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedJanuary 5, 2022
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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