Jacqueline Idun, NP
NPI #1659903045 in Antioch, California
Provider Information
- NPI Number
- 1659903045
- Entity Type
- Individual
- Name
- Jacqueline Idun, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- NP
- Enumeration Date
- Feb 4, 2020
- Last Updated
- Apr 6, 2020
Practice Location
- Address
- 2213 BUCHANAN RD STE 103
- City
- Antioch
- State
- California
- ZIP Code
- 94509-4265
- Phone
- (925) 303-4780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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