JERRY WONG
Nurse Practitioner
Active
Individual
NPI: 1124694377
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Registered Nurse | 163W00000X | No | 95244991 (CA) |
| Nurse Practitioner - Family | 363LF0000X | No | 95024472 (CA) |
| Nurse Practitioner | 363L00000X | Yes | 95024472 (CA) |
Frequently Asked Questions
NPI 1124694377 is the National Provider Identifier for JERRY WONG, a Nurse Practitioner provider located in Oakland, CA. This NPI was enumerated on May 28, 2021.
JERRY WONG practices at 3850 GRAND AVE, Oakland, CA 94610.
Quick Facts
- NPI
- 1124694377
- Type
- Individual
- Enumerated
- May 28, 2021
- Last Updated
- Mar 4, 2025
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