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

Jackie Irene Nembo Kom, APRN, AGPCNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1285088369

Jackie Irene Nembo Kom, APRN, AGPCNP-BC is a Nurse Practitioner in San Diego, California. Qualified in 2015, 11 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2016
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

17809 Kachina Ct
San Diego, CA 92127-1368
Phone: (619) 261-6328
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 95002893 (CA)

Record details

NPI number1285088369
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , AGPCNP-BC
Sole proprietorYes
NPI enumeratedApril 14, 2016
Last updated in NPPESOctober 12, 2021
Certification dateOctober 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in San Diego