Johanna Green-Jacob in San Diego - Family
Johanna Green-Jacob - NPI 1609863968
Johanna Green-Jacob is a Family in San Diego, California. Johanna Green-Jacob practices all healthcare services and medical treatments related to Family. The NPI Number for Johanna Green-Jacob is 1609863968. The last update date is 2014-02-25.
Johanna Green-Jacob's current location address is 823 Gateway Center Way, San Diego, California. You can contact this provider via phone number 6195152300 and fax number 6199064564. The mailing address for Johanna Green-Jacob is 823 Gateway Center Way, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johanna Green-Jacob |
|---|---|
| Address | 823 Gateway Center Way, San Diego, California |
| Phone Number | 6195152300 |
| Fax Number | 6199064564 |
| Sole Proprietor | N |
| Credentials | NURSE PRAC |
NPI Number Detail
| NPI Number | 1609863968 |
|---|---|
| Provider Enumeration Date | 2005-10-03 |
| Last Updated Date | 2014-02-25 |
Provider Mailing Address Detail
| Address | 823 Gateway Center Way |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921024541 |
| Phone Number | 6195152300 |
| Fax Number | 6199064564 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 13014 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PTAN | CA | WNP13014A |
Post Comment/ Review Below
What is the unique identifier code issued to Johanna Green-Jacob by the Centers for Medicare & Medicaid Services?
The Johanna Green-Jacob has been assigned the NPI (National Provider Identifier) 1609863968. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Johanna Green-Jacob is physically located?
The Johanna Green-Jacob is situated at the following address: 823 Gateway Center Way, San Diego, CA 921024541.
What is Johanna Green-Jacob's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Johanna Green-Jacob's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
When did the Johanna Green-Jacob receive its 1609863968?
The Johanna Green-Jacob was issued its 1609863968 on 2005-10-03, which is the date when the organization was assigned this unique identifier.
When was the information regarding Johanna Green-Jacob most recently updated?
The details pertaining to the Johanna Green-Jacob, including its address, specialty, and other relevant information, were last refreshed on 2014-02-25.