Individual
JESSICA SEBASTIAN JANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305
(650) 723-4000
Mailing address
1804 EMBARCADERO RD STE 100, PALO ALTO, CA 94303-3318
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22681
CA
363LA2100X
Acute Care Nurse Practitioner
22681
CA
363LA2100X
Acute Care Nurse Practitioner
APRN001836
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12745873
CAQH
—
Enumeration date
03/13/2013
Last updated
12/05/2018
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