Jessica Paola Amaya, PNP
Nurse Practitioner, Pediatrics in Los Angeles, CA. Individual provider (NPI-1).
NPI number1659894988
StatusActive
Last updated in NPPESJan 13, 2023
Details
- NPI
- 1659894988
- Entity type
- Individual (NPI-1)
- Name
- Jessica Paola Amaya
- Credential
- PNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2017
- Certification date
- Mar 12, 2021
- Last updated
- Jan 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 95006999 | CA | Yes |
Practice location
1530 S Olive StLos Angeles, CA 90015-3023
Phone 213-746-1037
Mailing address
1530 S Olive StLos Angeles, CA 90015-3023
Phone 213-747-5542
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