Individual
JANGMI BAIK SIVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95015923
CA
363LA2100X
Acute Care Nurse Practitioner
95015923
CA
Other
Enumeration date
12/02/2020
Last updated
11/12/2024
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