Jeanette Fedasz in San Jose - Nurse Practitioner
Jeanette Fedasz - NPI 1063580322
Jeanette Fedasz is a Nurse Practitioner in San Jose, California. Jeanette Fedasz practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jeanette Fedasz is 1063580322. The last update date is 2011-01-03.
Jeanette Fedasz's current location address is 55 E Julian St, San Jose, California. You can contact this provider via phone number 4089182600 and fax number 4087951129. The mailing address for Jeanette Fedasz is 55 E Julian St, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanette Fedasz |
|---|---|
| Address | 55 E Julian St, San Jose, California |
| Phone Number | 4089182600 |
| Fax Number | 4087951129 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1063580322 |
|---|---|
| Provider Enumeration Date | 2006-12-02 |
| Last Updated Date | 2011-01-03 |
Provider Mailing Address Detail
| Address | 55 E Julian St |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951124007 |
| Phone Number | 4089182600 |
| Fax Number | 4087951129 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | NP15814 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the unique 10-digit identification code assigned to Jeanette Fedasz by the Centers for Medicare & Medicaid Services?
The Jeanette Fedasz has been issued the NPI (National Provider Identifier) 1063580322, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jeanette Fedasz is geographically located?
The Jeanette Fedasz is physically situated at the following location: 55 E Julian St, San Jose, CA, 951124007.
What is the Jeanette Fedasz's area of specialization and corresponding taxonomy classification?
The Jeanette Fedasz's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063580322 to Jeanette Fedasz?
The Centers for Medicare & Medicaid Services originally issued the 1063580322 to Jeanette Fedasz on 2006-12-02.
When was the information pertaining to Jeanette Fedasz most recently updated or revised?
The details related to Jeanette Fedasz, including its address, specialty, and other relevant information, were last updated or revised on 2011-01-03.