Provider Demographics
NPI:1407749658
Name:CHEVEREZ, JAZMINE NICOLE (RN, CRNA, APRN)
Entity type:Individual
Prefix:
First Name:JAZMINE
Middle Name:NICOLE
Last Name:CHEVEREZ
Suffix:
Gender:F
Credentials:RN, CRNA, APRN
Other - Prefix:
Other - First Name:JAZMINE
Other - Middle Name:NICOLE
Other - Last Name:PIMENTEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:9326 WELLSTONE DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-2566
Mailing Address - Country:US
Mailing Address - Phone:813-830-8018
Mailing Address - Fax:
Practice Address - Street 1:601 E ROLLINS ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1248
Practice Address - Country:US
Practice Address - Phone:813-830-8018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11039788367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered