Individual provider · Type 1 NPI
Jessica Macias Maganda, NP
Acute Care Nurse Practitioner · Burbank, CA
NPI number
1063921088
Active
Practice location
501 S Buena Vista St
Burbank, CA 91505-4809
Mailing address
8700 De Soto Ave Apt 221
Canoga Park, CA 91304-1932
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95007475 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1063921088
Jessica Macias Maganda, NP's National Provider Identifier is 1063921088, issued on Sep 21, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Burbank, CA. The record was last updated on Sep 21, 2017.