Individual
MRS. VANESSA MICHELLE WICKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, CNS
Contact information
Practice address
9850 GENESEE AVE STE 560, LA JOLLA, CA 92037-1229
(858) 552-1410
Mailing address
5241 JAMESTOWN RD, SAN DIEGO, CA 92117-1244
(714) 824-7838
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP95030225
CA
Other
Enumeration date
07/26/2024
Last updated
04/06/2026
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