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

Jacqueline Nicole Mourra, FNP

Individual provider Family Nurse Practitioner · NPI 1235968785

Jacqueline Nicole Mourra, FNP is a Nurse Practitioner in Chula Vista, California. Qualified in 2018, 8 years ago. Practices with Balboa Nephrology Medical Group Inc, a 79-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2024
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

416 Broadway
Chula Vista, CA 91910-4304
Phone: (619) 427-1144
Fax: (619) 427-1185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2100 W 3rd St, Los Angeles, CA 90057-1944 — (888) 499-9303

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2023153882 (CA)

Record details

NPI number1235968785
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJuly 31, 2024
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Balboa Nephrology Medical Group Inc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Chula Vista