MRS. JESSICA ROSE DIESELDORFF NP NPI 1285722942

NPI Information

NPI: 1285722942
Provider Name: MRS. JESSICA ROSE DIESELDORFF, NP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
398 S GREEN VALLEY RD
WATSONVILLE, CA
ZIP 95076
Phone: (831) 786-2008
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MRS. Jessica Rose Dieseldorff, NP is a women's health nurse practitioner in Watsonville, CA with 26 years of experience. MRS. Jessica Rose Dieseldorff, NP NPI is 1285722942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

398 S GREEN VALLEY RD
WATSONVILLE, CA
ZIP 95076-099
Phone: (831) 786-2008
Fax: (831) 724-7438

The NPI 1285722942 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 10/24/2016.

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	163W00000X	Registered Nurse		10442	CALIFORNIA	No
2	363LW0102X	Nurse Practitioner	Women's Health	548205	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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