Provider Demographics
NPI:1154122158
Name:ELSUMRI, YASMEEN (BSN, RN)
Entity type:Individual
Prefix:
First Name:YASMEEN
Middle Name:
Last Name:ELSUMRI
Suffix:
Gender:
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 N ACACIA AVE
Mailing Address - Street 2:
Mailing Address - City:RIPON
Mailing Address - State:CA
Mailing Address - Zip Code:95366-2404
Mailing Address - Country:US
Mailing Address - Phone:209-924-0131
Mailing Address - Fax:
Practice Address - Street 1:304 N ACACIA AVE
Practice Address - Street 2:
Practice Address - City:RIPON
Practice Address - State:CA
Practice Address - Zip Code:95366-2404
Practice Address - Country:US
Practice Address - Phone:209-924-0131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95243427163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool