JACKIE D. FOREMAN FNP NPI 1972547735

NPI Information

NPI: 1972547735
Provider Name: JACKIE D. FOREMAN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
731 S AVENUE 59
LOS ANGELES, CA
ZIP 90042
Phone: (620) 875-6462
Get Directions

Jackie D. Foreman, FNP is a family nurse practitioner in Los Angeles, CA. Jackie D. Foreman, FNP NPI is 1972547735. 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:

731 S AVENUE 59
LOS ANGELES, CA
ZIP 90042-003
Phone: (620) 875-6462

The enumeration date for this NPI number is 6/15/2006 and was last updated on 4/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		139057	MISSOURI	No
2	363LF0000X	Nurse Practitioner	Family	NP 19781	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P10475	MEDICARE UPIN
2	110135001	MEDICARE PIN	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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