Individual
ASHLEY L JANNESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
400 PARNASSUS AVE RM A-6110, SAN FRANCISCO, CA 94143-2202
(415) 353-1606
Mailing address
452 NOVA ALBION WAY, SAN RAFAEL, CA 94903-3634
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
778527
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95008249
CA
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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