Individual provider · Type 1 NPI

Jackeline Lopez, AGNP- PCP, MSN

Registered Nurse · Santa Monica, CA

NPI number 1225875834 Active

Practice location

1250 16th St
Santa Monica, CA 90404-1249

Call (310) 825-9111 Map

Mailing address

5594 Valencia Dr
Montclair, CA 91762-7648

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X95100221 (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 1225875834

Jackeline Lopez, AGNP- PCP, MSN's National Provider Identifier is 1225875834, issued on Jul 10, 2024. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Santa Monica, CA. The record was last updated on Jul 10, 2024.