Provider Demographics
NPI:1992198212
Name:GARCIA, JOCELYN (RN, MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:
Last Name:GARCIA
Suffix:
Gender:F
Credentials:RN, MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10561 MERRITT ST
Mailing Address - Street 2:
Mailing Address - City:CASTROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95012-3310
Mailing Address - Country:US
Mailing Address - Phone:818-929-6561
Mailing Address - Fax:
Practice Address - Street 1:7800 TOPANGA CANYON BLVD APT 221
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91304-5521
Practice Address - Country:US
Practice Address - Phone:818-929-6561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-11
Last Update Date:2017-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95001846363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily