Individual provider · Type 1 NPI
Jan Kim Pine, NP
Nurse Practitioner · Loma Linda, CA
Practice location
11234 Anderson St
Loma Linda, CA 92354-2804
Fax (909) 558-0732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 837324 (CA) |
| Nurse Practitioner Primary | 363L00000X | 837324 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1326495573
Jan Kim Pine, NP's National Provider Identifier is 1326495573, issued on May 18, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Loma Linda, CA. The record was last updated on Jul 21, 2022.