Individual provider · Type 1 NPI

Jacqueline Ksajikian, FNP

Nurse Practitioner · Toluca Lake, CA

NPI number 1669350559 Active

Practice location

10220 Riverside Dr Ste A
Toluca Lake, CA 91602-2502

Mailing address

2050 Rimcrest Dr
Glendale, CA 91207-1046

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95032857 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1669350559

Jacqueline Ksajikian, FNP's National Provider Identifier is 1669350559, issued on Aug 26, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Toluca Lake, CA. The record was last updated on Aug 26, 2025.