Jonathan Portillo, AGACNP-BC
Jonathan Portillo, AGACNP-BC is a Student in an Organized Health Care Education/Training Program in Apple Valley, California. Licensed in California. Registered with an NPI since 2025.
- Licensed in
- CA
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
Apple Valley, CANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 95034996 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1033906961 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AGACNP-BC |
| Sole proprietor | No |
| NPI enumerated | April 23, 2025 |
| Last updated in NPPES | June 23, 2025 |
| Certification date | June 23, 2025 |
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