Individual
JAYME MORENO NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
11301 WILSHIRE BLVD BLDG 402, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
7051 ELLIS AVE SPC 42, HUNTINGTON BEACH, CA 92648-1243
(909) 522-8087
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95030908
CA
363LG0600X
Gerontology Nurse Practitioner
95030908
CA
363LP2300X
Primary Care Nurse Practitioner
95030908
CA
Other
Enumeration date
07/06/2024
Last updated
07/06/2024
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