Individual provider · Type 1 NPI

Kora Ann Juckem, NP

Psychiatric/Mental Health Nurse Practitioner · La Jolla, CA

NPI number 1356882286 Active

Practice location

8950 Villa La Jolla Dr Ste C121
La Jolla, CA 92037-1707

Call (855) 501-1004 Map

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95010535 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1356882286

Kora Ann Juckem, NP's National Provider Identifier is 1356882286, issued on Mar 11, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in La Jolla, CA. The record was last updated on Sep 30, 2026.