Individual
JEENA JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
985 W VERNON AVE, LOS ANGELES, CA 90037-3038
(323) 234-6300
Mailing address
985 W VERNON AVE, LOS ANGELES, CA 90037-3038
(323) 234-6300
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95016908
CA
Other
Enumeration date
03/12/2021
Last updated
10/31/2022
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