Individual provider · Type 1 NPI

Jade Sakura Lutz

Registered Nurse · Fairfield, CA

NPI number 1376449967 Active

Practice location

101 Bodin Cir
Fairfield, CA 94535-1809

Mailing address

1173 Heron Ct
Fairfield, CA 94533-2566

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X95383775 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1376449967

Jade Sakura Lutz's National Provider Identifier is 1376449967, issued on Oct 19, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fairfield, CA. The record was last updated on Oct 19, 2026.