Individual
MS. AUDRA ELIZABETH R JESSUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
367 N MAGNOLIA AVE, SUITE 101, EL CAJON, CA 92020-3995
(619) 401-3942
Mailing address
367 N MAGNOLIA AVE, SUITE 101, EL CAJON, CA 92020-3995
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
845604
CA
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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