Individual provider · Type 1 NPI
Jennifer Miranda Vicente, NP
Adult Health Nurse Practitioner · Lakewood, CA
NPI number
1235522483
Active
Practice location
3300 E South St Ste 205
Lakewood, CA 90805-4587
Mailing address
6742 Glorywhite St
Lakewood, CA 90713-2222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | NP95002008 (CA) |
| Gerontology Nurse Practitioner | 363LG0600X | NP95002008 (CA) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1235522483
Jennifer Miranda Vicente, NP's National Provider Identifier is 1235522483, issued on Mar 12, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lakewood, CA. The record was last updated on Mar 12, 2015.