person
Julie De Jesus
Family Nurse Practitioner in Ridgecrest, California
NPI 1588129183

Julie De Jesus is a Family Nurse Practitioner based in Ridgecrest, CA and is specialized in Family. Julie De Jesus practices in Ridgecrest, CA. The NPI Number for Julie De Jesus is 1588129183 and holds a License No. 95009965 (California).

The current practice location address for Julie De Jesus is 1111 N China Lake Blvd Ste 190, Ridgecrest, CA and can be reached out via phone at 760-499-3855 and via fax at 760-499-3870.

Location: 1111 N China Lake Blvd Ste 190, Ridgecrest, CA, 93555-3130
person
Provider Profile Details
NPI Number
1588129183
Provider Name
Julie De Jesus
Credential
Provider Entity Type
Individual
Gender
Female
Address
1111 N China Lake Blvd Ste 190, Ridgecrest, CA, 93555-3130
Phone Number
760-499-3855
Fax Number
760-499-3870
Provider Enumeration Date
02/07/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
75022 01 CA REGISTERED NURSE LICENSE
95009965 01 CA NURSE PRACTITIONER LICENSE
95009965 01 CA NURSE PRACTITIONER FURNISHING
institution
Provider Business Practice Location Address Details
Address
1111 N China Lake Blvd Ste 190
City
State
Zip
93555-3131
Phone Number
760-499-3855
Fax Number
760-499-3870
person
Provider Business Mailing Address Details
Address
1111 N China Lake Blvd Ste 190
City
State
Zip
93555-3131
Phone Number
760-499-3855
Fax Number
760-499-3870
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95009965 (California)
Definition
Definition to come...
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