Individual provider · Type 1 NPI

Jezzell Prime Sanchez, NP

Gerontology Nurse Practitioner · Duarte, CA

NPI number 1639929474 Active

Practice location

1500 Duarte Rd
Duarte, CA 91010-3012

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X95028727 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1639929474

Jezzell Prime Sanchez, NP's National Provider Identifier is 1639929474, issued on Mar 25, 2024. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Duarte, CA. The record was last updated on Oct 30, 2025.