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Contact Information

JEREMY S CLOOKIE, FNP
3940 HOME AVE
SAN DIEGO, CA92105
 Phone: 619-262-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Licensed Vocational Nurse

164X00000X
Indicates primary specialty

NPI Profile & details for JEREMY S CLOOKIE · (Male)

NPI # 1447420252
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 03/07/2008
Last updated 06/12/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 210373
  • CA License # 95009188
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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