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Jason Grant Quallich, ARNP
Family Nurse Practitioner in Santa Rosa, California
NPI 1427349380

Jason Grant Quallich is a Family Nurse Practitioner based in Santa Rosa, CA and is specialized in Family. Jason Grant Quallich practices in Santa Rosa, CA and has the professional credentials of ARNP. The NPI Number for Jason Grant Quallich is 1427349380 and holds a License No. ARNP9229231 (California).

The current practice location address for Jason Grant Quallich is 3841 Brickway Blvd, Santa Rosa, CA and can be reached out via phone at 727-515-9490.

Location: 3841 Brickway Blvd, Santa Rosa, CA, 95409-4049
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427349380
Provider Name
Jason Grant Quallich
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
3841 Brickway Blvd, Santa Rosa, CA, 95409-4049
Phone Number
727-515-9490
Fax Number
Provider Enumeration Date
04/27/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003541900 05 FL
institution
Provider Business Practice Location Address Details
Address
3841 Brickway Blvd
City
Santa Rosa
State
California
Zip
95403-8226
Phone Number
727-515-9490
Fax Number
person
Provider Business Mailing Address Details
Address
3841 Brickway Blvd
City
Santa Rosa
State
California
Zip
95403-8226
Phone Number
727-515-9490
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
ARNP9229231 (Florida)
Definition
Definition to come...
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