Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | NP5145 | CA |
NPI | 1053554063 |
---|---|
Provider Name | Donna Jean Bishop |
First Address | San Jose, CA 95126-2203 |
Second Address | North Highlands, CA 95660-4752 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2009 |
Last Update Date | 07/04/2009 |