Individual provider · Type 1 NPI
Jessica Tabares
Family Nurse Practitioner · Los Angeles, CA
NPI number
1659921641
Active
Practice location
4211 Avalon Blvd
Los Angeles, CA 90011-5622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 768369 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 768369 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1659921641
Jessica Tabares's National Provider Identifier is 1659921641, issued on Sep 12, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 3, 2021.