Individual provider · Type 1 NPI

Jacob Liscano

Family Nurse Practitioner · Tustin, CA

NPI number 1487510681 Active

Practice location

17612 17th St Ste 101
Tustin, CA 92780-1962

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95037065 (CA)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

Other family nurse practitioner providers in Tustin

See all in Tustin →

About NPI 1487510681

Jacob Liscano's National Provider Identifier is 1487510681, issued on Dec 31, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tustin, CA. The record was last updated on Dec 31, 2025.