Individual provider · NPI-1

Jaimie T Abraham, AGPCNP-BC

Nurse Practitioner, Family · Mountain View, CA

NPI number1245757699
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1245757699
Entity type
Individual (NPI-1)
Name
Jaimie T Abraham
Credential
AGPCNP-BC
Sex
Female
Sole proprietor
No
Enumeration date
Aug 26, 2017
Certification date
Nov 27, 2023
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyNP95006624CAYes

Practice location

701 E El Camino Real
Mountain View, CA 94040-2833

Phone 650-404-8370

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408

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