Individual provider · Type 1 NPI
Heather Jo, NP
Gerontology Nurse Practitioner · Los Angeles, CA
NPI number
1376913319
Active
Practice location
919 S Wilton Pl Apt 3
Los Angeles, CA 90019-2130
Mailing address
11144 Bunker Ln
Whittier, CA 90604-2535
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95002888 (CA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1376913319
Heather Jo, NP's National Provider Identifier is 1376913319, issued on Oct 2, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 15, 2022.