Individual
JESSICA JUANITA BRAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(800) 926-8273
(888) 539-8781
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
95005501
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95005501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952818601
SHARP COMMUNITY MEDICAL GROUP
CA
Enumeration date
01/03/2018
Last updated
06/23/2026
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