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

Jacqueline Idun, NP

Individual provider Registered Nurse · NPI 1659903045

Jacqueline Idun, NP is a Registered Nurse in Antioch, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2213 Buchanan Rd Ste 103
Antioch, CA 94509-4265
Phone: (925) 303-4780
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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 95014031 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95071879 (CA)

Record details

NPI number1659903045
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 4, 2020
Last updated in NPPESApril 6, 2020
Certification dateApril 6, 2020
Mailing address2213 Buchanan Rd Ste 103, Antioch, CA 94509-4265

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