Individual
NASRIN JAZAYERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4315 E MAIN ST, MESA, AZ 85205-8605
(480) 870-7500
(480) 906-2173
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN057391
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039644205
—
TX
01
—
8Y2620
BLUE CROSS BLUE SHIELD
TX
01
—
P00435558
MEDICARE RAILROAD
TX
Enumeration date
12/16/2006
Last updated
08/07/2024
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