Individual
JASON BEAU DELUISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP,CNP, APRN
Contact information
Practice address
1577 C ST, ANCHORAGE, AK 99501-5127
(941) 348-6927
(907) 865-2433
Mailing address
15919 29TH ST E, PARRISH, FL 34219-1854
(505) 331-0295
(907) 865-2433
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
02/01/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us