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Individual

JACQUELINE NICOLE SNIFFEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP-BC

Contact information

Practice address
4212 MARYLAND ST APT 5, SAN DIEGO, CA 92103-2343
(214) 240-4116
Mailing address
4212 MARYLAND ST APT 5, SAN DIEGO, CA 92103-2343

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95234286
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95016779
CA

Other

Enumeration date
01/18/2021
Last updated
04/29/2021
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