Jacquelyn Becerra
Nurse Anesthetist, Certified Registered in San Diego, CA. Individual provider (NPI-1).
NPI number1548683402
StatusActive
Last updated in NPPESMar 18, 2021
Details
- NPI
- 1548683402
- Entity type
- Individual (NPI-1)
- Name
- Jacquelyn Becerra
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2014
- Certification date
- Mar 18, 2021
- Last updated
- Mar 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95055880 | CA | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 041416690 | IL | |
| 367500000X | Nurse Anesthetist, Certified Registered | 95000293 | CA |
Practice location
200 W Arbor DrSan Diego, CA 92103-9000
Phone 800-926-8273
Mailing address
Po Box 232410San Diego, CA 92193-2410
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