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

Jennifer S Lee, AGNP

Individual provider Nurse Practitioner · NPI 1013423805

Jennifer S Lee, AGNP is a Nurse Practitioner in Burbank, California. Qualified in 2017, 9 years ago. Practices with Providence Medical Institute, a 336-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

201 S Buena Vista St Ste 325
Burbank, CA 91505-4518
Phone: (818) 842-7145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95007574 (CA)

Record details

NPI number1013423805
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedDecember 16, 2017
Last updated in NPPESApril 16, 2021
Certification dateApril 16, 2021

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 Medical Institute — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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