Karissa Bartholme Plummer, PA-C
Physician Assistant in San Diego, CA. Individual provider (NPI-1).
NPI number1063834331
StatusActive
Last updated in NPPESSep 5, 2023
Details
- NPI
- 1063834331
- Entity type
- Individual (NPI-1)
- Name
- Karissa Bartholme Plummer
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 6, 2014
- Certification date
- Sep 5, 2023
- Last updated
- Sep 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA51246 | CA | Yes |
Other names
- Karissa Marie Bartholme (Former Name)
Practice location
501 Washington St Ste 600San Diego, CA 92103-2239
Phone 619-278-3340
Mailing address
10790 Rancho Bernardo RdSan Diego, CA 92127-5705
Phone 619-278-3300 · Fax 619-278-3310
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