Individual provider · Type 1 NPI

Jennifer Maccio, ARNP

Pediatric Nurse Practitioner · Newport Beach, CA

NPI number 1720429152 Active

Practice location

2071 San Joaquin Hills Rd
Newport Beach, CA 92660-6505

Fax (949) 759-1442

Mailing address

24422 Avenida De La Carlota Ste 300
Laguna Hills, CA 92653-3628

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XRN9315548 (FL)
Pediatric Nurse Practitioner 363LP0200X95011121 (CA)
Pediatric Nurse Practitioner Primary 363LP0200X95015296 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1720429152

Jennifer Maccio, ARNP's National Provider Identifier is 1720429152, issued on Jul 15, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Newport Beach, CA. The record was last updated on Mar 2, 2022.