Individual provider · Type 1 NPI

Jennifer Jardeleza Crisostomo, NURSE PRACTITIONER

Family Nurse Practitioner · Covina, CA

NPI number 1659020576 Active · reactivated May 4, 2022

Practice location

235 E Badillo St
Covina, CA 91723-2116

Fax (626) 214-7815

Mailing address

PO Box 80011
City Of Industry, CA 91716-8011

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95019457 (CA)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

Other family nurse practitioner providers in Covina

See all in Covina →

About NPI 1659020576

Jennifer Jardeleza Crisostomo, NURSE PRACTITIONER's National Provider Identifier is 1659020576, issued on Mar 18, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Covina, CA. The record was last updated on Jul 29, 2024.