Individual provider · Type 1 NPI
Jesse Tung
Family Nurse Practitioner · San Bruno, CA
NPI number
1114634185
Active
Practice location
10 Bayhill Shopping Center
San Bruno, CA 94066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95015292 (CA) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1114634185
Jesse Tung's National Provider Identifier is 1114634185, issued on Oct 31, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Bruno, CA. The record was last updated on Oct 31, 2022.