Individual provider · Type 1 NPI

Jettele Joy D. Lara, FNP-C

Pediatric Nurse Practitioner · West Covina, CA

NPI number 1043931629 Active

About NPI 1043931629

Jettele Joy D. Lara, FNP-C's National Provider Identifier is 1043931629, issued on Sep 12, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in West Covina, CA. The record was last updated on Feb 1, 2024.