Individual
JODI MARIE DEEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGPCNP
Contact information
Practice address
1 HOAG DR, NEWPORT BEACH, CA 92663-4162
(949) 764-8585
(949) 764-1960
Mailing address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 461-5043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2307151
MA
163W00000X
Registered Nurse
95104424
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95006967
CA
Other
Enumeration date
03/27/2017
Last updated
08/13/2020
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