Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE LICAUCO, NP
Active Sole ProprietorJACQUELINE LICAUCO, NP is a Family Nurse Practitioner healthcare provider located in BURBANK, California. NPI 1467857284 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · BURBANK, CA
Registration Details
- NPI Number
- 1467857284
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2014 (11.797703318849 yrs)
- Last Updated
- Aug 6, 2019
- License
-
95000859 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
191 S BUENA VISTASUITE 100BURBANK, CA, 915054554Browse CA providers · Browse ZIP 91505
- Phone
- 8188697600
- Fax
- 8144333691
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in BURBANK, CA
| Name | Credential | NPI |
|---|---|---|
| DEBRA L KABAIVANOFF | ARNP | 1831198597 |
| MS. MARY J MEYER | FNP | 1659365336 |
| MISS JULIE HARRIS | NURSE PRACTITIONER | 1609940444 |
| KELLI LEILANI HERNANDEZ | FNP-C | 1285872267 |
| MRS. CLAUDETTE NICOLAS WASIM | NP-C | 1841424520 |
| MS. NELLY L BABALOYAN | MSN, FNP-BC | 1518269489 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.