Individual provider · Type 1 NPI

Jacqueline Sutherland

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1225916752 Active

Practice location

1891 Effie St
Los Angeles, CA 90026-1711

Mailing address

214 E Port Hueneme Rd
Port Hueneme, CA 93041-3225

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1225916752

Jacqueline Sutherland's National Provider Identifier is 1225916752, issued on Aug 22, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 22, 2025.