SUPREET KAUR NP NPI 1417872888

NPI Information

  • NPI: 1417872888
  • Provider Name: SUPREET KAUR, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 759 TILDEN ST
    MANTECA, CA
    ZIP 95337
  • Phone: (510) 509-4059

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NPI Details

Supreet Kaur, NP is a psychiatric/mental health nurse practitioner in Manteca, CA. Supreet Kaur, NP NPI is 1417872888. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

759 TILDEN ST
MANTECA, CA
ZIP 95337-822
Phone: (510) 509-4059

The enumeration date for this NPI number is 8/12/2026 and was last updated on 8/12/2026.

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
1363LP0808XNurse PractitionerPsychiatric/Mental Health95040983CALIFORNIAYes

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: 11/21/2025

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