Provider Demographics
NPI:1093537797
Name:TULI, JASLEEN KAUR (PMHNP)
Entity type:Individual
Prefix:
First Name:JASLEEN
Middle Name:KAUR
Last Name:TULI
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1098 MELODY LN STE 102
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-5138
Mailing Address - Country:US
Mailing Address - Phone:916-277-9010
Mailing Address - Fax:916-266-5111
Practice Address - Street 1:1098 MELODY LN STE 102
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-5138
Practice Address - Country:US
Practice Address - Phone:916-277-9010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95032673363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health