person
Jacqueline Licauco, NP
Family Nurse Practitioner in Burbank, California
NPI 1467857284

Jacqueline Licauco is a Family Nurse Practitioner based in Mission Hills, CA and is specialized in Family. Jacqueline Licauco practices in Burbank, CA and has the professional credentials of NP. The NPI Number for Jacqueline Licauco is 1467857284 and holds a License No. 95000859 (California).

The current practice location address for Jacqueline Licauco is 191 S Buena Vista, Burbank, CA and can be reached out via phone at 818-869-7600 and via fax at 814-433-3691.

Location: 191 S Buena Vista, Burbank, CA, 91346-9602
person
Provider Profile Details
NPI Number
1467857284
Provider Name
Jacqueline Licauco
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
191 S Buena Vista, Burbank, CA, 91346-9602
Phone Number
818-869-7600
Fax Number
814-433-3691
Provider Enumeration Date
10/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
191 S Buena Vista
City
State
Zip
91505-4554
Phone Number
818-869-7600
Fax Number
814-433-3691
person
Provider Business Mailing Address Details
Address
191 S Buena Vista
City
State
Zip
91505-4554
Phone Number
818-869-7600
Fax Number
814-433-3691
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95000859 (California)
Definition
Definition to come...
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