Individual
JANE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, AGACNP-BC
Contact information
Practice address
505 PARNASSUS AVE, 10 ICC & 10 CVT, SAN FRANCISCO, CA 94143-2204
(415) 353-1606
Mailing address
500 PARNASSUS AVE, MILLBERRY UNION WEST, MU-405, BOX 0118, SAN FRANCISCO, CA 94143-2203
(415) 353-1606
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95001627
CA
363LC0200X
Critical Care Medicine Nurse Practitioner
95001627
CA
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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