Individual provider · Type 1 NPI
Jackie D. Foreman, FNP
Family Nurse Practitioner · Los Angeles, CA
NPI number
1972547735
Active
Practice location
731 S Avenue 59
Los Angeles, CA 90042-5003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 139057 (MO) |
| Family Nurse Practitioner Primary | 363LF0000X | NP 19781 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1972547735
Jackie D. Foreman, FNP's National Provider Identifier is 1972547735, issued on Jun 15, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 6, 2011.