KELLY JIA LI FANG NPI 1972152726

NPI Information

NPI: 1972152726
Provider Name: KELLY JIA LI FANG
Classification: Registered Nurse - 163WC1500X
Entity Type: Individual

Specialization: Community Health

Address:
818 WEBSTER ST
OAKLAND, CA
ZIP 94607
Phone: (510) 986-6800
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Kelly Jia Li Fang is a community health registered nurse in Oakland, CA. Kelly Jia Li Fang NPI is 1972152726. 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:

818 WEBSTER ST
OAKLAND, CA
ZIP 94607-220
Phone: (510) 986-6800

The enumeration date for this NPI number is 9/4/2019 and was last updated on 9/4/2019.

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	163WC1500X	Registered Nurse	Community Health	788618	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: 11/14/2023

NPI Synchronization or Removal

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