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

Jane Lee, MS, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1245741552

Jane Lee, MS, AGACNP-BC is a Nurse Practitioner in Mission Hills, California. Qualified in 2017, 9 years ago. Practices with Providence Facey Medical Foundation, a 323-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Illinois.

Years since qualifying
9
Licensed in
CA, IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

11333 Sepulveda Blvd Fl 3
Mission Hills, CA 91345-1116
Phone: (818) 869-7268
Fax: (818) 869-7136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95011632 (CA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 209.016568 (IL)

Record details

NPI number1245741552
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , AGACNP-BC
Sole proprietorYes
NPI enumeratedOctober 14, 2017
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Providence Facey Medical Foundation — 323 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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