Individual provider · Type 1 NPI

Jason Niles Kukas, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Upland, CA

NPI number 1437876760 Active

Practice location

954 W Foothill Blvd Ste A
Upland, CA 91786-3782

Mailing address

41500 Washington St Apt E224
Bermuda Dunes, CA 92203-9516

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95023040 (CA)

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

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About NPI 1437876760

Jason Niles Kukas, PMHNP-BC's National Provider Identifier is 1437876760, issued on Oct 26, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Upland, CA. The record was last updated on Oct 26, 2022.