Individual provider · Type 1 NPI

Jacqueline Nicole Mourra, FNP

Family Nurse Practitioner · Chula Vista, CA

NPI number 1235968785 Active

Practice location

416 Broadway
Chula Vista, CA 91910-4304

Fax (619) 427-1185

Mailing address

9373 Hazard Way Ste 200
San Diego, CA 92123-1226

Other practice locations

  • 2100 W 3rd St, Los Angeles, CA 90057-1944 · (888) 499-9303

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95026949 (CA)
Nurse Practitioner 363L00000X95026949 (CA)

Family Nurse Practitioner: Definition to come...

13 other providers at this address

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About NPI 1235968785

Jacqueline Nicole Mourra, FNP's National Provider Identifier is 1235968785, issued on Jul 31, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chula Vista, CA. The record was last updated on Oct 5, 2026.