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Tiffany De Jesus
Family Nurse Practitioner in Upland, California
NPI 1447799739

Tiffany De Jesus is a Family Nurse Practitioner based in Upland, CA and is specialized in Family. Tiffany De Jesus practices in Upland, CA. The NPI Number for Tiffany De Jesus is 1447799739 and holds a License No. 720787 (California).

The current practice location address for Tiffany De Jesus is 1310 San Bernardino Rd Ste 105, Upland, CA and can be reached out via phone at 909-429-2864.

Location: 1310 San Bernardino Rd Ste 105, Upland, CA, 91786-4985
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447799739
Provider Name
Tiffany De Jesus
Credential
Provider Entity Type
Individual
Gender
Female
Address
1310 San Bernardino Rd Ste 105, Upland, CA, 91786-4985
Phone Number
909-429-2864
Fax Number
Provider Enumeration Date
02/20/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1310 San Bernardino Rd Ste 105
City
Upland
State
California
Zip
91786-4985
Phone Number
909-429-2864
Fax Number
person
Provider Business Mailing Address Details
Address
1310 San Bernardino Rd Ste 105
City
Upland
State
California
Zip
91786-4985
Phone Number
909-429-2864
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Diabetes Educator
Taxonomy
163WD0400X
License No.
95022332 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
720787 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
720787 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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