Individual provider · Type 1 NPI
Jolene Betancourt
Primary Care Nurse Practitioner · Loma Linda, CA
NPI number
1225910573
Active
Practice location
11234 Anderson St
Loma Linda, CA 92350-1716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95036198 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1225910573
Jolene Betancourt's National Provider Identifier is 1225910573, issued on Jul 25, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Loma Linda, CA. The record was last updated on Jul 27, 2025.