Juckem, Kora Ann
Juckem, Kora Ann is an individual health care provider with primary practice located at 8950 Villa La Jolla Dr Ste C217 , La Jolla CA 92037-1712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Juckem, Kora Ann can be contacted via phone (858) 638-8125.Contact Information
Primary practice address
8950 Villa La Jolla Dr Ste C217
La Jolla CA 92037-1712
Phone: (858) 638-8125
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | AP9972 | Arizona |
Profile Details
| NPI number | 1356882286 |
|---|---|
| LBN Legal business name | Juckem, Kora Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2017 |
| Last updated | Sep 28th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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