Individual provider · Type 1 NPI

Jessica Song

Family Nurse Practitioner · Los Angeles, CA

NPI number 1669245247 Active

Practice location

3727 W 6th St Ste 200
Los Angeles, CA 90020-5108

Mailing address

1745 Holly Dr Apt 106
Glendale, CA 91206-4142

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95024014 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1669245247

Jessica Song's National Provider Identifier is 1669245247, issued on Nov 6, 2023. 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 Nov 6, 2023.