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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JOHANNA GREEN-JACOB, NURSE PRACTITIONER

Active

MRS. JOHANNA GREEN-JACOB, NURSE PRACTITIONER is a Family Nurse Practitioner healthcare provider located in SAN DIEGO, California. NPI 1609863968 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SAN DIEGO, CA

Registration Details

NPI Number
1609863968
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2005 (20.819651980682 yrs)
Last Updated
Feb 25, 2014
License
13014 (CA)

Practice Information

Address
823 GATEWAY CENTER WAY
SAN DIEGO, CA, 921024541
Browse CA providers · Browse ZIP 92102
Phone
6195152300
Fax
6199064564
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in SAN DIEGO, CA

Name Credential NPI
CHRISTINE S CLAYTON C.N.P. 1861497810
DR. TOMAS C. WALKER DNP, APRN, BC-ADM 1891791802
JENNIFER ELIZABETH TONGE-MARTIN APRN,BC 1649276288
MS. CHRISTINE ANN SULLIVAN CNM, FNP, PHD, MSN 1265424121
SUSAN ROBERTA TUSSEY FNP 1053307504
CATHY ANN BAUGHMAN-GROSS FNP 1710973953
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.