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

Jazmin Jenae Cunningham

Individual provider Pediatric Nurse Practitioner · NPI 1912736703

Jazmin Jenae Cunningham is a Nurse Practitioner in Moreno Valley, California. Qualified in 2019, 7 years ago. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2024

Practice location Address checks out

11401 Heacock St Ste 330
Moreno Valley, CA 92557-7908
Phone: (951) 247-8697
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence NP95032520 (CA)

Record details

NPI number1912736703
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 30, 2024
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address11175 Campus St, Loma Linda, CA 92350-1700

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Moreno Valley