Jacqueline Licauco has Nurse Practitioner as her primary medical specialty. Their primary office is: 191 S Buena Vista St in Burbank, California.
They're a part of the: Providence Facey Medical Foundation medical group which has around 282 members. You can call their office at 818-869-7600 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, her university is not listed and graduated in 2014 (around 10 years of experience). They are listed as doing telehealth appointments.
Jacqueline Licauco
Providence Facey Medical Foundation
191 S Buena Vista St
Burbank, California 91505
818-869-7600
Phone: 818-869-7600
Enter a starting address:
Medical School: Sorry, her university is not listed
Graduation Year: 2014
The Primary Medical Specialty for Jacqueline Licauco is listed as: Nurse Practitioner
Approximate Years of Experience: 10
PAC (PECOS ID)#: 0648508176
NPI #: 1467857284
NPI Created On: 10/23/2014
NPI Last Updated Listed as: 08/06/2019
Primary Taxonomy Code: 363LF0000X
License Number:
95000859
Listed Gender: Female
Services and Procedures include:
Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.
Payments Total: $18
Number of Payments:: 1
Form of Payment: In-kind items and services
Third party is a Charity:: No
Record ID:: 802249248
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: RESPIRATORY
Name of Drug #1: TRELEGY ELLIPTA
Open Associated Drug #1: 0173-0887-14
Payments Total: $29
Number of Payments:: 1
Form of Payment: In-kind items and services
Record ID:: 794777107
Being Disputed:: No
Product Related: Yes
Drug or Biological: Drug
Product Category #1: NEUROSCIENCE
Name of Drug #1: QULIPTA
Open Associated Drug #1: 0074-7094-30
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View all 282 members of Providence Facey Medical Foundation medical group