person
Jess Daniel Dawdy
Family Nurse Practitioner in Santa Rosa, California
NPI 1154095818

Jess Daniel Dawdy is a Family Nurse Practitioner based in Los Altos, CA and is specialized in Family. Jess Daniel Dawdy practices in Santa Rosa, CA. The NPI Number for Jess Daniel Dawdy is 1154095818 and holds a License No. 95018004 (California).

The current practice location address for Jess Daniel Dawdy is 3883 Airway Dr Ste 202, Santa Rosa, CA and can be reached out via phone at 707-521-7777 and via fax at 707-573-5426.

Location: 3883 Airway Dr Ste 202, Santa Rosa, CA, 94022-1408
person
Provider Profile Details
NPI Number
1154095818
Provider Name
Jess Daniel Dawdy
Credential
Provider Entity Type
Individual
Gender
Male
Address
3883 Airway Dr Ste 202, Santa Rosa, CA, 94022-1408
Phone Number
707-521-7777
Fax Number
707-573-5426
Provider Enumeration Date
08/05/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP95018004 01 CA STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
3883 Airway Dr Ste 202
City
State
Zip
95403-1671
Phone Number
707-521-7777
Fax Number
707-573-5426
person
Provider Business Mailing Address Details
Address
3883 Airway Dr Ste 202
City
State
Zip
95403-1671
Phone Number
707-521-7777
Fax Number
707-573-5426
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95018004 (California)
Definition
Definition to come...
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