JACOB BENJAMIN SOLED RN NPI 1326693326

NPI Information

NPI: 1326693326
Provider Name: JACOB BENJAMIN SOLED, RN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
2235 CHALLENGER WAY
SANTA ROSA, CA
ZIP 95407
Phone: (707) 565-4900
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Jacob Benjamin Soled, RN is a psychiatric/mental health nurse practitioner in Santa Rosa, CA. Jacob Benjamin Soled, RN NPI is 1326693326. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2235 CHALLENGER WAY
SANTA ROSA, CA
ZIP 95407-458
Phone: (707) 565-4900

The enumeration date for this NPI number is 8/6/2019 and was last updated on 3/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN95171379	CALIFORNIA	No
2	163W00000X	Registered Nurse		283910	NORTH CAROLINA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95026966	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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