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NPI Profile for JESSICA R NUNNALLY in SAN DIEGO, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI # | 1073973368 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/29/2016 | |
| Last updated | 07/19/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JESSICA R NUNNALLY
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JESSICA R NUNNALLY