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Jeffensen Jay Timacdog
Nurse Practitioner in San Diego, California
NPI 1083103956

Jeffensen Jay Timacdog is a Nurse Practitioner based in San Diego, CA. Jeffensen Jay Timacdog practices in San Diego, CA. The NPI Number for Jeffensen Jay Timacdog is 1083103956 and holds a License No. NP95008823 (California).

The current practice location address for Jeffensen Jay Timacdog is 9920 Pacific Heights Blvd Ste 150, San Diego, CA and can be reached out via phone at 818-337-8701.

Location: 9920 Pacific Heights Blvd Ste 150, San Diego, CA, 92121-4361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083103956
Provider Name
Jeffensen Jay Timacdog
Credential
Provider Entity Type
Individual
Gender
Male
Address
9920 Pacific Heights Blvd Ste 150, San Diego, CA, 92121-4361
Phone Number
818-337-8701
Fax Number
Provider Enumeration Date
05/07/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
9920 Pacific Heights Blvd Ste 150
City
San Diego
State
California
Zip
92121-4361
Phone Number
818-337-8701
Fax Number
person
Provider Business Mailing Address Details
Address
9920 Pacific Heights Blvd Ste 150
City
San Diego
State
California
Zip
92121-4361
Phone Number
818-337-8701
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
95008823 (California)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
NP95008823 (California)
Definition
Definition to come...
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