Individual
JACOB MARTIN MACMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP IN PROGRESS
Contact information
Practice address
1907 COLUMBIA ST APT 308, SAN DIEGO, CA 92101-2219
(559) 776-8864
Mailing address
1907 COLUMBIA ST APT 308, SAN DIEGO, CA 92101-2219
(559) 776-8864
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN95268641
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN95268641
BOARD OF REGISTERED NURSING
CA
Enumeration date
03/18/2025
Last updated
08/18/2025
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