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Mr. Jesse Korth, NP-C
Family Nurse Practitioner in San Jose, California
NPI 1457870586

Jesse Korth is a Family Nurse Practitioner based in San Jose, CA and is specialized in Family. Jesse Korth practices in San Jose, CA and has the professional credentials of NP-C. The NPI Number for Jesse Korth is 1457870586 and holds a License No. 238714 (California).

The current practice location address for Jesse Korth is 255 N White Rd Ste 200, San Jose, CA and can be reached out via phone at 866-646-3553.

Location: 255 N White Rd Ste 200, San Jose, CA, 95159-8782
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457870586
Provider Name
Jesse Korth
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
255 N White Rd Ste 200, San Jose, CA, 95159-8782
Phone Number
866-646-3553
Fax Number
Provider Enumeration Date
09/09/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95012974 01 CA BOARD OF NURSING NP LICENSE
95029028 01 CA BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
255 N White Rd Ste 200
City
San Jose
State
California
Zip
95127-1966
Phone Number
866-646-3553
Fax Number
person
Provider Business Mailing Address Details
Address
255 N White Rd Ste 200
City
San Jose
State
California
Zip
95127-1966
Phone Number
866-646-3553
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
163WC0200X
License No.
87827 (West Virginia)
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.
238714 (North Carolina)
Definition
Definition to come...
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