Individual provider · Type 1 NPI

Luke Cody Roy, FNP-BC

Family Nurse Practitioner · La Mesa, CA

NPI number 1235696964 Active

Practice location

5555 Grossmont Center Dr
La Mesa, CA 91942-3019

Fax (619) 740-3967

Mailing address

4320 Mayapan Dr
La Mesa, CA 91941-7142

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X786655 (CA)
Emergency Registered Nurse 163WE0003XB01084732 (CA)
Family Nurse Practitioner Primary 363LF0000XNP95011115 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1235696964

Luke Cody Roy, FNP-BC's National Provider Identifier is 1235696964, issued on Feb 28, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in La Mesa, CA. The record was last updated on Mar 4, 2024.