Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JESSICA WALL DIVINE, M.D.
ActiveDR. JESSICA WALL DIVINE, M.D. is a Family Medicine healthcare provider located in SANTA CRUZ, California. NPI 1184065930 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SANTA CRUZ, CA
Registration Details
- NPI Number
- 1184065930
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 9, 2013 (13.054486711888 yrs)
- Last Updated
- Feb 19, 2025
- Licenses
-
0116026459 (VA)145258 (CA)
Practice Information
- Address
-
1080 EMELINE AVESANTA CRUZ, CA, 950601966Browse CA providers · Browse ZIP 95060
- Phone
- 8314544100
- Fax
- 8314544488
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SANTA CRUZ, CA
| Name | Credential | NPI |
|---|---|---|
| MIKI R JOY | M.D. | 1134122922 |
| WILLIAM EBERT | MD | 1982609848 |
| MS. ROSE MARIE HENDRIX | DO | 1629078415 |
| WHAY H JONES | MD | 1952301020 |
| MR. LARRY DAVID RESNECK-SANNES | MD | 1114919784 |
| DEAN SHOJI KASHINO | M.D. | 1811984446 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.