Individual provider · Type 1 NPI
Jacqueline Idun, NP
Family Nurse Practitioner · Antioch, CA
NPI number
1659903045
Active
Practice location
2213 Buchanan Rd Ste 103
Antioch, CA 94509-4265
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95071879 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 95014031 (CA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1659903045
Jacqueline Idun, NP's National Provider Identifier is 1659903045, issued on Feb 4, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Antioch, CA. The record was last updated on Apr 6, 2020.