Jennifer J Capistran, NP Valid NPI

Individual provider · Pediatric Nurse Practitioner · Pearl, MS

NPI

1508530296

Type

Individual (Type 1)

Primary specialty

Pediatric Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0200X

License number

904537 (MS)

Sex

Female

Sole proprietor

Yes

Enumerated

2021-08-05

Last updated

2026-07-27