Individual provider · Type 1 NPI

Mark Jonathan Khakali, RN

Registered Nurse · Elk Grove, CA

NPI number 1063284172 Active

Practice location

9449 Clementine Way
Elk Grove, CA 95758-3912

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X846609 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1063284172

Mark Jonathan Khakali, RN's National Provider Identifier is 1063284172, issued on Oct 23, 2023. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Elk Grove, CA. The record was last updated on Oct 26, 2023.