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Jackie Wiedemann
Family Nurse Practitioner in Arcata, California
NPI 1780731778

Jackie Wiedemann is a Family Nurse Practitioner based in Arcata, CA and is specialized in Family. Jackie Wiedemann practices in Arcata, CA. The NPI Number for Jackie Wiedemann is 1780731778 and holds a License No. 333007 (California).

The current practice location address for Jackie Wiedemann is 1 Harpst St, Arcata, CA and can be reached out via phone at 707-826-3146.

Location: 1 Harpst St, Arcata, CA, 95521-8222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780731778
Provider Name
Jackie Wiedemann
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 Harpst St, Arcata, CA, 95521-8222
Phone Number
707-826-3146
Fax Number
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1 Harpst St
City
Arcata
State
California
Zip
95521-8222
Phone Number
707-826-3146
Fax Number
person
Provider Business Mailing Address Details
Address
1 Harpst St
City
Arcata
State
California
Zip
95521-8222
Phone Number
707-826-3146
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
333007 (California)
Definition
Definition to come...
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