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Individual

MS. KAREN MARIE JERSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
MURPHY CANYON ROAD, 3914 MURPHY CANYON ROAD, SAN DIEGO, CA 92123-9212
(858) 751-0315
Mailing address
702 VAL SERENO DR, ENCINITAS, CA 92024-6919
(760) 809-5511

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
21684
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21684
NURSE PRACTITIONER LICENSE
CA
Enumeration date
02/24/2012
Last updated
01/09/2020
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