Individual
MRS. JESSICA DANIELLE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9888 CARROLL CENTRE RD STE 218A, SAN DIEGO, CA 92126-4515
(858) 935-9104
Mailing address
3150 FLORINE DR APT B, LEMON GROVE, CA 91945-2119
(636) 448-9339
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95032874
CA
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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