Individual provider · Type 1 NPI
Ivonne Ileana Jacomino Lopez, FNP
Family Nurse Practitioner · Hialeah, FL
NPI number
1972102192
Active
Practice location
4661 W 8th Ln
Hialeah, FL 33012-3517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 9342058 (FL) |
| Family Nurse Practitioner Primary | 363LF0000X | 11009290 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1972102192
Ivonne Ileana Jacomino Lopez, FNP's National Provider Identifier is 1972102192, issued on Oct 19, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hialeah, FL. The record was last updated on Oct 19, 2020.