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

Jayme Moreno Newberry, AGPCNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1417793670

Jayme Moreno Newberry, AGPCNP-BC is a Gerontology Nurse Practitioner in Los Angeles, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
Specialties on file
3

Practice location Address checks out

11301 Wilshire Blvd Bldg 402
Los Angeles, CA 90073-1003
Phone: (310) 478-3711
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95030908 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 95030908 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 95030908 (CA)

Record details

NPI number1417793670
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedJuly 6, 2024
Last updated in NPPESJuly 6, 2024
Certification dateJuly 6, 2024

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