Individual provider · Type 1 NPI

Gasong Yun Nickerson

Family Nurse Practitioner · Sacramento, CA

NPI number 1962877282 Active

Practice location

2800 L St Ste 500
Sacramento, CA 95816-5616

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XF340096 (NY)
Family Nurse Practitioner Primary 363LF0000X95004720 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1962877282

Gasong Yun Nickerson's National Provider Identifier is 1962877282, issued on Dec 11, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sacramento, CA. The record was last updated on Oct 2, 2019.