Individual
ANAMARIE JUMAWAN MCNEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-8585
Mailing address
3277 BERGER AVE APT 56, SAN DIEGO, CA 92123-1937
(480) 375-0904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RN106587
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP2752
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19678
NURSE PRACTITIONER
CA
05
—
231996
—
AZ
01
—
554961
RN
CA
01
—
RN106587
RN LICENSE
AZ
Enumeration date
04/25/2007
Last updated
05/03/2011
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