TENISHA EDMISTON A.P.N. NPI 1295285765

NPI Information

NPI: 1295285765
Provider Name: TENISHA EDMISTON, A.P.N.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4735 HAMILTON AVE
SAN JOSE, CA
ZIP 95130
Phone: (408) 913-1101
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Tenisha Edmiston, A.P.N. is a family nurse practitioner in San Jose, CA with 8 years of experience. Tenisha Edmiston, A.P.N. NPI is 1295285765. 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:

4735 HAMILTON AVE
SAN JOSE, CA
ZIP 95130-769
Phone: (408) 913-1101

The NPI 1295285765 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 10/10/2016 and was last updated on 7/30/2019.

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	363LF0000X	Nurse Practitioner	Family	95009464	CALIFORNIA	Yes
2	363LF0000X	Nurse Practitioner	Family	26NJ00663400	NEW JERSEY	No

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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