Provider Demographics
NPI:1053117614
Name:KAUR, JASKIRAN (FNP-C)
Entity type:Individual
Prefix:
First Name:JASKIRAN
Middle Name:
Last Name:KAUR
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7350 E STETSON DR UNIT 4011
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3449
Mailing Address - Country:US
Mailing Address - Phone:253-391-3434
Mailing Address - Fax:
Practice Address - Street 1:3333 E CAMELBACK RD STE 126
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-2322
Practice Address - Country:US
Practice Address - Phone:253-391-3434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ308737363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily