Jyesha Isis Wren
Nurse Practitioner - Women's Health
2721 Comstock Cir
Belmont
, California 94002-2904
Jyesha Isis Wren
Nurse Practitioner - Women's Health
2721 Comstock Cir
Belmont
, California 94002-2904
(831) 713-6602
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Jyesha Isis Wren
- 2721 Comstock Cir
- Belmont, CA
- Zip : 94002-2904
- Phone : (831) 713-6602
Second Address
- Jyesha Isis Wren
- 2721 Comstock Cir
- Belmont, CA
- Zip : 94002-2904
- Phone : (831) 713-6602
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LW0102X | Nurse Practitioner - Women's Health | 95003564 | CA |
National Provider Identifier
| NPI | 1043675747 |
|---|---|
| Provider Name | Jyesha Isis Wren |
| First Address | Belmont, CA 94002-2904 |
| Second Address | Belmont, CA 94002-2904 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/12/2015 |
| Last Update Date | 22/12/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.