Jessica Ray Nunnally
Nurse Practitioner, Family in San Diego, CA. Individual provider (NPI-1).
NPI number1073973368
StatusActive
Last updated in NPPESJul 19, 2018
Details
- NPI
- 1073973368
- Entity type
- Individual (NPI-1)
- Name
- Jessica Ray Nunnally
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 29, 2016
- Last updated
- Jul 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AG1215007 | CA | Yes |
Practice location
3544 30th StSan Diego, CA 92104
Phone 619-515-2424 · Fax 619-683-7570
Mailing address
823 Gateway Center WaySan Diego, CA 92102-4541
Phone 619-515-2300 · Fax 619-906-4564
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