Individual
MRS. JESSICA LEE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
6840 VIA DEL ORO STE 210, SAN JOSE, CA 95119-1372
(408) 284-2280
Mailing address
6840 VIA DEL ORO STE 210, SAN JOSE, CA 95119-1372
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95003153
CA
Other
Enumeration date
01/07/2016
Last updated
07/23/2018
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