HEATHER JO


Address: 919 S Wilton Pl Apt 3, Los Angeles, CA 90019-2130
Phone: 2136050524

HEATHER JO (NPI# 1376913319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376913319
Entity Type Individual
Full Name HEATHER JO
Credential NP
Practice Address 919 S Wilton Pl Apt 3
Los Angeles
CA 90019-2130
Practice Telephone 2136050524
Enumeration Date 2015-10-02
Last Update Date 2015-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
95002888 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 919 S WILTON PL APT 3
City LOS ANGELES
State CA
Zip Code 90019-2130

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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