Individual provider · NPI-1
Jessica Campos-Ahmadi, DNP
Nurse Practitioner, Pediatrics · Loma Linda, CA
NPI number1598571663
StatusActive
Last updated in NPPESDec 4, 2024
Details
- NPI
- 1598571663
- Entity type
- Individual (NPI-1)
- Name
- Jessica Campos-Ahmadi
- Credential
- DNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2024
- Certification date
- Dec 4, 2024
- Last updated
- Dec 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 95032612 | CA | Yes |
Practice location
11234 Anderson StLoma Linda, CA 92350-1716
Phone 909-558-8000
Mailing address
11234 Anderson StLoma Linda, CA 92350-1716
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