Provider Demographics
NPI:1982112462
Name:ESCALANTE, JAZMIN (FNP)
Entity Type:Individual
Prefix:
First Name:JAZMIN
Middle Name:
Last Name:ESCALANTE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 N MORRISON BLVD
Mailing Address - Street 2:STE 125
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70401
Mailing Address - Country:US
Mailing Address - Phone:985-402-3762
Mailing Address - Fax:985-256-2591
Practice Address - Street 1:1320 N MORRISON BLVD
Practice Address - Street 2:STE 125
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-2242
Practice Address - Country:US
Practice Address - Phone:985-402-3762
Practice Address - Fax:985-256-2591
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-18
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAAP09627363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily