Individual
MS. KRISTINE L. JESSEN-MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP #NPF4647
Contact information
Practice address
140 LITTON DR. #100, GRASS VALLEY, CA 95945
(530) 477-4016
(530) 477-4018
Mailing address
140 LITTON DR. #100, PO BOX 459001, GRASS VALLEY, CA 95945
(530) 477-4016
(530) 477-4018
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP 4647
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP 4647
NURSE PRACT. CERTIFICATIO
CA
Enumeration date
09/17/2006
Last updated
02/05/2020
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