Jacqueline Licauco, NP is a family nurse practitioner in Burbank, CA with 10 years of experience. Jacqueline Licauco, NP NPI is 1467857284. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
191 S BUENA VISTA
SUITE 100
BURBANK, CA
ZIP 91505-554
Phone: (818) 869-7600
Fax: (814) 433-3691
The NPI 1467857284 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/23/2014 and was last updated on 8/6/2019.