Individual provider · Type 1 NPI
Jessica Marie Wideman
Registered Nurse · San Mateo, CA
Practice location
10 Melrose Ct
San Mateo, CA 94402-3218
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 95030425 (CA) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1336002120
Jessica Marie Wideman's National Provider Identifier is 1336002120, issued on Dec 8, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in San Mateo, CA. The record was last updated on Dec 8, 2025.