Healthcare Provider Details

I. General information

NPI: 1699522870
Provider Name (Legal Business Name): JHUNE PEARL JACOSALEM AGUILAR FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JHUNE PEARL DEL ROSARIO

II. Dates (important events)

Enumeration Date: 05/04/2024
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W TOWN AND COUNTRY RD STE 1600
ORANGE CA
92868-4698
US

IV. Provider business mailing address

5990 DEVERS CT
LAS VEGAS NV
89118-0100
US

V. Phone/Fax

Practice location:
  • Phone: 844-215-2443
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP61554882
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number830086
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: