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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EUNICE JILL CANONIZADO PHAN, MSN, FNP-BC, FNP-C

Active

EUNICE JILL CANONIZADO PHAN, MSN, FNP-BC, FNP-C is a Nurse Practitioner healthcare provider located in TUSTIN, California. NPI 1558024570 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · TUSTIN, CA

Registration Details

NPI Number
1558024570
Provider Type
Individual
Gender
Female
NPI Issued
Oct 17, 2021 (4.8181139800995 yrs)
Last Updated
Oct 22, 2025
License
NP95018278 (CA)

Practice Information

Address
661 W 1ST ST STE G
TUSTIN, CA, 927802939
Browse CA providers · Browse ZIP 92780
Phone
7146659890
Fax
7146659891
Primary Specialty
Nurse Practitioner
363L00000X

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ADITAIM LOPEZ MARTINEZ N.P. 1629421102
AMANDA JOY HALL NP 1073023420
JAEWON LEE NP 1467941401
INGRY T VO APRN 1780178392
JIMMY-HIEU NGUYEN LE NP 1407501398
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.