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Individual
JASON BEAU DELUISA
Active
Individual
JASON BEAU DELUISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP,CNP, APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
117659
AK
363LF0000X
Family Nurse Practitioner
CNP-01518
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
117659
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1666771
—
AK
05
—
37805771
—
NM
Enumeration date
08/20/2009
Last updated
09/09/2026
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