| Doctor Name: | JYESHA ISIS WREN |
| NPI Number: | 1043675747 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNM, WHNP, RN |
| License Number: | 95003564 |
| Business Practice Address: | 2721 Comstock Cir Belmont, CA - 940022904 |
| Business Phone Number: | 8317136602 |
| Business Fax Number: | |
| Mailing Address: | 2721 Comstock Cir, BELMONT |
| State: | CA |
| Postal Code: | 940022904 |
| Phone Number: | 8317136602 |
| Fax Number: | |
| NPI Enumeration Date: | 12/22/2015 |
| NPI Last Update Date: | 12/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 95003564 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |