Individual
JESSICA AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1234 N VERMONT AVE, LOS ANGELES, CA 90029-1704
(323) 660-0831
Mailing address
6710 VARIEL AVE APT 404, WOODLAND HILLS, CA 91303-4806
(818) 437-9199
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95009311
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95009311
CALIFORNIA BOARD OF REGISTERED NURSING
CA
Enumeration date
01/15/2019
Last updated
03/07/2023
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