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Deja Shari Koenig, NP
Nurse Practitioner in San Jose, California
NPI 1184264525

Deja Shari Koenig is a Nurse Practitioner based in Freeport, CA. Deja Shari Koenig practices in San Jose, CA and has the professional credentials of NP. The NPI Number for Deja Shari Koenig is 1184264525 and holds a License No. 95013548 (California).

The current practice location address for Deja Shari Koenig is 1375 Blossom Hill Rd Ste 49, San Jose, CA and can be reached out via phone at 408-645-7073.

Location: 1375 Blossom Hill Rd Ste 49, San Jose, CA, 11520-6114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184264525
Provider Name
Deja Shari Koenig
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1375 Blossom Hill Rd Ste 49, San Jose, CA, 11520-6114
Phone Number
408-645-7073
Fax Number
Provider Enumeration Date
01/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1375 Blossom Hill Rd Ste 49
City
San Jose
State
California
Zip
95118-3806
Phone Number
408-645-7073
Fax Number
person
Provider Business Mailing Address Details
Address
1375 Blossom Hill Rd Ste 49
City
San Jose
State
California
Zip
95118-3806
Phone Number
408-645-7073
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN282683 (Georgia)
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
Family
Taxonomy
363LF0000X
License No.
95013548 (California)
Definition
Definition to come...
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