Provider Demographics
NPI:1790073187
Name:KAHLER, JESSLYN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:JESSLYN
Middle Name:
Last Name:KAHLER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:JESSLYN
Other - Middle Name:
Other - Last Name:HUTTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:10780 SANTA MONICA BLVD
Mailing Address - Street 2:SUITE 280
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-4749
Mailing Address - Country:US
Mailing Address - Phone:310-312-5050
Mailing Address - Fax:310-575-9292
Practice Address - Street 1:10780 SANTA MONICA BLVD
Practice Address - Street 2:SUITE 280
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-4749
Practice Address - Country:US
Practice Address - Phone:310-312-5050
Practice Address - Fax:310-575-9292
Is Sole Proprietor?:No
Enumeration Date:2011-07-19
Last Update Date:2015-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF336579363LF0000X
CA810497363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily