Jimmy Eric Fong, RN, FNP - C Valid NPI

Individual provider · Family Nurse Practitioner · Duarte, CA

NPI

1619540358

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

95019107 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2021-07-21

Last updated

2022-06-07