Individual
MRS. CHRISTINA JACOBSON CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
320 SANTA FE DR STE 320, ENCINITAS, CA 92024-5138
(760) 901-5200
(760) 635-1887
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(760) 901-5200
(760) 635-1887
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
235642
CA
363LW0102X
Women's Health Nurse Practitioner
NP95000656
CA
367A00000X
Advanced Practice Midwife
Primary
NMW235642
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235642
235642
CA
Enumeration date
04/30/2014
Last updated
03/27/2024
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