# JIBRAN A AHMED

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992311823
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 95281954 | CA | — |
| 163W00000X | Registered Nurse | RN60865339 | WA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 95020754 | CA | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP61172870 | WA | — |

## Other

- **Enumeration date:** 09/16/2020
- **Last updated:** 11/20/2023