Individual
DR. JEREMY RAY FLOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15316
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083810
—
CA
05
—
GR0083811
—
CA
05
—
GR0083812
—
CA
05
—
GR0083813
—
CA
05
—
GR0083814
—
CA
05
—
GR0083815
—
CA
05
—
GR0083816
—
CA
05
—
GR0083817
—
CA
05
—
ZZZ75341Z
—
CA
Enumeration date
06/23/2005
Last updated
06/11/2020
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