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Jody A Bouma, NP
Nurse Practitioner in Upland, California
NPI 1841425279

Jody A Bouma is a Nurse Practitioner based in Upland, CA. Jody A Bouma practices in Upland, CA and has the professional credentials of NP. The NPI Number for Jody A Bouma is 1841425279 and holds a License No. 17316 (California).

The current practice location address for Jody A Bouma is 1113 Alta Ave Ste 220, Upland, CA and can be reached out via phone at 909-985-1908 and via fax at 909-985-5583.

Location: 1113 Alta Ave Ste 220, Upland, CA, 91786-2803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841425279
Provider Name
Jody A Bouma
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1113 Alta Ave Ste 220, Upland, CA, 91786-2803
Phone Number
909-985-1908
Fax Number
909-985-5583
Provider Enumeration Date
05/29/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17316 01 CA NURSE PRACTITIONER LIC
institution
Provider Business Practice Location Address Details
Address
1113 Alta Ave Ste 220
City
Upland
State
California
Zip
91786-2803
Phone Number
909-985-1908
Fax Number
909-985-5583
person
Provider Business Mailing Address Details
Address
1113 Alta Ave Ste 220
City
Upland
State
California
Zip
91786-2803
Phone Number
909-985-1908
Fax Number
909-985-5583
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
17316 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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