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Contact Information

FIDELITY NURSING PROFESSIONAL CORPORATION
2004 AUTUMN OAK PL
STOCKTON, CA95209-4230
 Phone: 209-470-8575
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for FIDELITY NURSING PROFESSIONAL CORPORATION

NPI # 1962247676
LBN Legal business name FIDELITY NURSING PROFESSIONAL CORPORATION
Authorized official RICHARD SEVILLA - (NURSE PRACTITIONER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/26/2024
Last updated 06/26/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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