Individual provider · Type 1 NPI
Jerie Mae Ibale
Primary Care Nurse Practitioner · Long Beach, CA
NPI number
1497348304
Active
Practice location
5901 E 7th St
Long Beach, CA 90822-5201
Mailing address
5421 Ashworth St
Lakewood, CA 90712-1330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95014911 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1497348304
Jerie Mae Ibale's National Provider Identifier is 1497348304, issued on Feb 11, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Long Beach, CA. The record was last updated on Oct 4, 2026.