Individual provider · Type 1 NPI
Jennelle Suchecki
Acute Care Nurse Practitioner · Loma Linda, CA
NPI number
1639809221
Active
Practice location
11234 Anderson St
Loma Linda, CA 92354-2804
Mailing address
8250 Entrefina Way
Riverside, CA 92508-6149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95021332 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1639809221
Jennelle Suchecki's National Provider Identifier is 1639809221, issued on Jun 15, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Loma Linda, CA. The record was last updated on Jun 15, 2022.