Individual
MRS. JESSICA LIPSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13601 SAN PABLO AVE, SAN PABLO, CA 94806-3818
(510) 231-9400
Mailing address
19 VIA TREVISO, AMERICAN CANYON, CA 94503-1447
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95236042
CA
Other
Enumeration date
08/11/2023
Last updated
08/15/2023
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