Individual
MRS. JACLYN MARIE NOBAKHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27281 LAS RAMBLAS STE 236, MISSION VIEJO, CA 92691-6324
(949) 228-9755
Mailing address
26661 VIA DEL SOL, MISSION VIEJO, CA 92691-6126
(949) 374-1696
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95019193
CA
Other
Enumeration date
11/23/2021
Last updated
09/24/2023
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