Individual
JANE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, AGACNP-BC
Contact information
Practice address
11333 SEPULVEDA BLVD FL 3, MISSION HILLS, CA 91345-1116
(818) 869-7268
(818) 869-7136
Mailing address
11333 SEPULVEDA BLVD FL 3, MISSION HILLS, CA 91345-1116
(818) 869-7268
(818) 869-7136
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209.016568
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
95011632
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95011632
NP LICENSE
CA
Enumeration date
10/14/2017
Last updated
01/31/2025
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