Individual
HITTA JENNIFER BRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5379 BALBOA AVE, SAN DIEGO, CA 92117-6913
(858) 405-8926
Mailing address
5379 BALBOA AVE, SAN DIEGO, CA 92117-6913
(858) 405-8926
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22559
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22559
NURSE PRACTITIONER
CA
Enumeration date
05/23/2013
Last updated
05/23/2013
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