Individual provider · Type 1 NPI

Jacqueline R. Prophett, RN

Registered Nurse · Los Angeles, CA

NPI number 1811250236 Active

Practice location

5300 Angeles Vista Blvd
Los Angeles, CA 90043

Fax (323) 295-3021

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN507420 (CA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1811250236

Jacqueline R. Prophett, RN's National Provider Identifier is 1811250236, issued on Jun 20, 2012. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 20, 2012.