Dieseldorff, Jessica Rose

Dieseldorff, Jessica Rose is an individual health care provider with primary practice located at 398 S Green Valley Rd , Watsonville CA 95076-3099. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Dieseldorff, Jessica Rose can be contacted via phone (831) 786-2008.

Contact Information

Primary practice address
398 S Green Valley Rd Watsonville CA 95076-3099
Phone: (831) 786-2008
Fax: (831) 724-7438
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 548205 California
Nursing Service Providers / Registered Nurse 163W00000X 10442 California

Profile Details

NPI number 1285722942
LBN Legal business name Dieseldorff, Jessica Rose
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Oct 24th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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