Individual
JEMELY RAMOS VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1304 ELLA ST STE A, SAN LUIS OBISPO, CA 93401-4165
(805) 549-9555
(805) 549-0444
Mailing address
1304 ELLA ST STE A, SAN LUIS OBISPO, CA 93401-4165
(805) 549-9555
(805) 549-0444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21957
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21957
NURSE PRACTITIONER LICENSE
CA
01
—
503263
REGISTERED NURSE
CA
01
—
54018
PUBLIC HEALTH NURSING LICENSE
CA
01
—
F1112152
AMERICAN ACADEMY OF NURSE PRACTITIONERS
CA
01
—
GU257Z
MEDICARE PTAN
CA
Enumeration date
09/06/2012
Last updated
12/28/2022
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