Jennifer Nicole Aguilar, RN, NP

Individual provider Active NPI Family Nurse Practitioner · Sylmar, CA

NPI 1831556919 · NPPES record last updated Jan 21, 2016

Key facts

NPI
1831556919
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
95003670 (CA)
Practice address
14124 Foothill Blvd
Suite 100
Sylmar, CA 91342-8049
Phone
(818) 367-1012
NPI assigned
Jan 21, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner, Registered Nurse

Interoperability endpoints

  • Direct secure messaging: jennifer.aguilar.1@14883.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 775714 CA
Community Health Registered Nurse 163WC1500X 78974 CA
Family Nurse Practitioner 363LF0000X 95003670 CA Yes

Addresses

Primary practice location

14124 Foothill Blvd
Suite 100
Sylmar, CA 91342-8049

Mailing address

14722 Sundance PL
Canyon Country, CA 91387-1563
Phone (661) 733-1649

Other names

  • Jennifer Nicole Medina Former name

Other providers in Sylmar, CA

All providers in Sylmar, CA · Family Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.