| Doctor Name: | JESSICA B. VETTER |
| NPI Number: | 1003944539 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, NP |
| License Number: | RN584608 NP14550 |
| Business Practice Address: | 2222 Bancroft Way #4300 Berkeley, CA - 947204301 |
| Business Phone Number: | 5106429494 |
| Business Fax Number: | |
| Mailing Address: | 2222 Bancroft Way, #4300 BERKELEY |
| State: | CA |
| Postal Code: | 947204301 |
| Phone Number: | 5106429494 |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 07/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | RN584608 NP14550 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |