Individual provider · Type 1 NPI
Jonathan Kusmulyana, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Corona, CA
NPI number
1184580029
Active
Practice location
26120 Plumcot Dr
Corona, CA 92883-3141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP95037773 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1184580029
Jonathan Kusmulyana, NURSE PRACTITIONER's National Provider Identifier is 1184580029, issued on Jan 3, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Corona, CA. The record was last updated on Jan 3, 2026.