JUDE LEGROS LEVASSEUR


Address: 19200 Von Karman Ave Ste 500, Irvine, CA 92612-8513
Phone: 9493824776

JUDE LEGROS LEVASSEUR (NPI# 1033734439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033734439
Entity Type Individual
Full Name JUDE LEGROS LEVASSEUR
Credential NP
Practice Address 19200 Von Karman Ave Ste 500
Irvine
CA 92612-8513
Practice Telephone 9493824776
Mailing Telephone 8776283367
Enumeration Date 2020-06-11
Last Update Date 2020-07-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
NP95014463 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 19200 VON KARMAN AVE STE 500
City IRVINE
State CA
Zip Code 92612-8513

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City IRVINE
Zip Code 92612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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