Individual
MISS JESSICA BRIANNA COLLINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5395 RUFFIN RD STE 204, SAN DIEGO, CA 92123-1338
(858) 571-3630
(858) 430-3146
Mailing address
798 ANGUS ST, PASO ROBLES, CA 93446-4630
(805) 712-0567
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
843821
CA
363L00000X
Nurse Practitioner
Primary
95008585
CA
Other
Enumeration date
09/04/2013
Last updated
03/17/2018
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