Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackie D. Foreman, FNP

Individual provider Nurse Practitioner · NPI 1972547735

Jackie D. Foreman, FNP is a Nurse Practitioner in Los Angeles, California. Licensed in California and Missouri. Registered with an NPI since 2006.

Licensed in
CA, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

731 S Avenue 59
Los Angeles, CA 90042-5003
Phone: (620) 875-6462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP 19781 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 139057 (MO)

Record details

NPI number1972547735
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESApril 6, 2011

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