Doctor Name: | JIA WU |
NPI Number: | 1093145898 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 23536 |
Business Practice Address: | 500 W Hospital Rd French Camp, CA - 952319693 |
Business Phone Number: | 5106213836 |
Business Fax Number: | |
Mailing Address: | 3486 Smoketree Commons, PLEASANTON |
State: | CA |
Postal Code: | 945667964 |
Phone Number: | 5106213836 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2013 |
NPI Last Update Date: | 11/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 23536 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |