Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 15219 | CA |
N | 363LC1500X | Nurse Practitioner - Community Health | 15219 | CA |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 15219 | CA |
N | 363LP2300X | Nurse Practitioner - Primary Care | 15219 | CA |
NPI | 1316901689 |
---|---|
Provider Name | Ms. Esker-D Ligon |
First Address | Oakland, CA 94612-3466 |
Second Address | Vallejo, CA 94589-2226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 03/01/2022 |