Individual
JACQUELINE ANGELA MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, PNP
Contact information
Practice address
747 52ND ST, DEPARTMENT OF GASTROENTEROLOGY, OAKLAND, CA 94609-1809
(510) 428-3885
(510) 597-7168
Mailing address
747 52ND ST, DEPARTMENT OF GASTROENTEROLOGY, OAKLAND, CA 94609-1809
(510) 428-3885
(510) 597-7168
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
585932
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
12864 - CERTIFICATE
CA
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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