Provider Demographics
NPI:1639901572
Name:VELA, JAZMIN ANDREA (ACNPC-AG)
Entity type:Individual
Prefix:MRS
First Name:JAZMIN
Middle Name:ANDREA
Last Name:VELA
Suffix:
Gender:F
Credentials:ACNPC-AG
Other - Prefix:MRS
Other - First Name:JAZMIN
Other - Middle Name:ANDREA
Other - Last Name:VELA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1403 FINCH LN
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78541-0019
Mailing Address - Country:US
Mailing Address - Phone:915-401-5423
Mailing Address - Fax:
Practice Address - Street 1:1102 W TRENTON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-9105
Practice Address - Country:US
Practice Address - Phone:956-388-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1171208363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care