# ALLIANCE MOBILE NURSING PRACTITIONER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629847140
- **Authorized official:** JACKIE VAN DO (CEO/OWNER)
- **Authorized official phone:** (858) 380-6983

## Contact information

- **Practice address:** 4579 MAPLE AVE STE 1, LA MESA, CA 91941-3154
- **Practice address phone:** (760) 481-9946
- **Practice address fax:** (760) 560-2369
- **Mailing address:** 408 PALMAC ST, SAN MARCOS, CA 92069-1315
- **Mailing address phone:** (760) 481-9946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/26/2023
- **Last updated:** 05/15/2024