JACKIE WIEDEMANN

Nurse Practitioner - Family

Active Individual
NPI: 1780731778

Practice Address

1 HARPST ST
Arcata, CA 95521

Phone: (707) 826-3146

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 333007 (CA)

Frequently Asked Questions

NPI 1780731778 is the National Provider Identifier for JACKIE WIEDEMANN, a Nurse Practitioner - Family provider located in Arcata, CA. This NPI was enumerated on January 4, 2007.
JACKIE WIEDEMANN practices at 1 HARPST ST, Arcata, CA 95521.

Quick Facts

NPI
1780731778
Type
Individual
Enumerated
Jan 4, 2007
Last Updated
Jul 8, 2007

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