Jodie Fasullo, RN

Individual Active
NPI 1154885655
Nutrition Support Registered Nurse San Clemente, CA

Jodie Fasullo, RN is a nutrition support registered nurse practicing in San Clemente, CA. The NPI was issued on January 29, 2019, and the record was last updated in NPPES on January 29, 2019. One additional practice location is listed.

This record hasn't been updated in NPPES since 2019. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Nutrition Support Registered Nurse Primary 163WN1003X 718632 (CA)

Practice locations

37 Optima
San Clemente, CA 92672-9407
Phone: (949) 813-3026
22600 Lambert St Ste 802B
Lake Forest, CA 92630-1620
Phone: (949) 813-3026

Local context

Active NPPES records list 4 providers with nutrition support registered nurse as the primary taxonomy within 25 miles of this practice location's ZIP code, 2 of them within 10 miles.

The same primary taxonomy is listed by 18 in California and 125 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Jodie Fasullo
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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