IndividualActive
Daniel Jusayan
NPI 1124755707 · Medical-Surgical Registered Nurse · Dallas, TX
Provider details
- NPI number
- 1124755707
- Entity type
- Individual
- Primary specialty
- Medical-Surgical Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1085780 (TX)
Specialties & taxonomies
Nursing Service Providers
Practice location
3500 Gaston Ave
Dallas, TX 75246-2017
Phone: (469) 801-4500
Approximate (ZIP-level) locationGet directions
Mailing address
5454 Amesbury Dr Apt 1211
Dallas, TX 75206-3221
Registry dates
- Enumerated
- 2022-08-04
- Last updated
- 2022-08-04
- Certified
- 2022-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.