Provider Demographics
NPI:1366312258
Name:ATHWAL, JASKIRAN KAUR (NP)
Entity type:Individual
Prefix:
First Name:JASKIRAN
Middle Name:KAUR
Last Name:ATHWAL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7449 MORNING HILL ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95829-9398
Mailing Address - Country:US
Mailing Address - Phone:949-247-1256
Mailing Address - Fax:
Practice Address - Street 1:7449 MORNING HILL ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95829-9398
Practice Address - Country:US
Practice Address - Phone:949-247-1256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-06
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95035757363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner