Individual
DIANE M JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15301 WARREN SHINGLE RD, BEALE AFB, CA 95903-1907
(530) 634-4738
(530) 634-4743
Mailing address
15301 WARREN SHINGLE RD, BEALE AFB, CA 95903-1907
(530) 634-4738
(530) 634-4743
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5062
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
282154
REGISTERED NURSE
CA
01
—
5062
NURSE PRACTITIONER
CA
Enumeration date
05/09/2008
Last updated
02/13/2013
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