Jonathan Kusmulyana, NURSEPRACTITIONER
Jonathan Kusmulyana, NURSEPRACTITIONER is a Psychiatric/Mental Health Nurse Practitioner in Corona, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2026
Practice location Address checks out
26120 Plumcot DrCorona, CA 92883-3141
Phone: (626) 641-5054
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Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence NP95037773 (CA) |
|---|
Record details
| NPI number | 1184580029 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | Yes |
| NPI enumerated | January 3, 2026 |
| Last updated in NPPES | January 3, 2026 |
| Certification date | January 3, 2026 |
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