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Organization

HEALTH AND WELLNESS TELEMEDICINE

Active
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Organization

HEALTH AND WELLNESS TELEMEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACKLINE SHINYONYA SUTHERLAND NP (NURSE PRACTITIONER)
(973) 955-8960
Entity
Organization

Contact information

Practice address
3610 TOURNAMENT DR, PALMDALE, CA 93551-5635
(973) 955-8960
Mailing address
3610 TOURNAMENT DR, PALMDALE, CA 93551-5635
(973) 955-8960

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—

Other

Enumeration date
03/02/2026
Last updated
03/02/2026
About Stedi
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