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Individual
MRS. JACKLINE SHINYONYA SUTHERLAND
Active
Individual
MRS. JACKLINE SHINYONYA SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95011529
CA
363LF0000X
Family Nurse Practitioner
CNP 3442
MN
363LF0000X
Family Nurse Practitioner
R2068891
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1537966505
—
CA
Enumeration date
01/27/2015
Last updated
01/26/2021
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