Individual
JACQUELINE CARLY COHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP, RN
Contact information
Practice address
11425 EL CAMINO REAL, SAN DIEGO, CA 92130-2045
(858) 365-9605
(619) 848-7480
Mailing address
13347 ORANGE BLOSSOM WAY, SAN DIEGO, CA 92130-2716
(847) 306-0411
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
95004126
CA
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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