Jannifer Lynn Wick in San Diego - Physician Assistant
Jannifer Lynn Wick - NPI 1306020961
Jannifer Lynn Wick is a Physician Assistant in San Diego, California. Jannifer Lynn Wick practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jannifer Lynn Wick is 1306020961. The last update date is 2007-12-19.
Jannifer Lynn Wick's current location address is 10851 Caravelle Pl, San Diego, California. You can contact this provider via phone number 8585059806. The mailing address for Jannifer Lynn Wick is 10851 Caravelle Pl, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jannifer Lynn Wick |
|---|---|
| Address | 10851 Caravelle Pl, San Diego, California |
| Phone Number | 8585059806 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1306020961 |
|---|---|
| Provider Enumeration Date | 2007-12-19 |
| Last Updated Date | 2007-12-19 |
Provider Mailing Address Detail
| Address | 10851 Caravelle Pl |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921242048 |
| Phone Number | 8585059806 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1080526 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Jannifer Lynn Wick by the Centers for Medicare & Medicaid Services?
The Jannifer Lynn Wick has been issued the NPI (National Provider Identifier) 1306020961 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jannifer Lynn Wick's facilities are geographically located?
The facilities of Jannifer Lynn Wick are physically situated at the following location: 10851 Caravelle Pl, San Diego, CA, 921242048.
What is Jannifer Lynn Wick's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jannifer Lynn Wick is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did Jannifer Lynn Wick receive its 1306020961 assignment from the Centers for Medicare & Medicaid Services?
The Jannifer Lynn Wick was assigned its 1306020961 on 2007-12-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jannifer Lynn Wick, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jannifer Lynn Wick, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-19.