Individual provider · Type 1 NPI
Jonnyce Bautista Laoag, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · San Jose, CA
NPI number
1972209906
Active
Practice location
322 Piercy Rd Ste A
San Jose, CA 95138-1401
Fax (408) 693-3619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95030556 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1972209906
Jonnyce Bautista Laoag, PMHNP-BC's National Provider Identifier is 1972209906, issued on Feb 1, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in San Jose, CA. The record was last updated on Oct 10, 2025.