Individual
JEFFENSEN JAY TIMACDOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6920 MIRAMAR RD STE 326, SAN DIEGO, CA 92121-2642
(619) 345-0086
(619) 345-0086
Mailing address
9920 PACIFIC HEIGHTS BLVD STE 150, SAN DIEGO, CA 92121-4361
(619) 345-0086
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95008823
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95008823
CA
363LP2300X
Primary Care Nurse Practitioner
NP95008823
CA
Other
Enumeration date
05/07/2018
Last updated
06/25/2024
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