Individual provider · Type 1 NPI
Jasette Marian Manacsa Fong, RN, APRN, MSN
Pediatric Clinical Nurse Specialist · San Diego, CA
NPI number
1386339091
Active
Practice location
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Mailing address
1118 Camino Cantera
Chula Vista, CA 91913-3451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 753824 (CA) |
| Pediatric Clinical Nurse Specialist Primary | 364SP0200X | 4666 (CA) |
Pediatric Clinical Nurse Specialist: Definition to come...
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About NPI 1386339091
Jasette Marian Manacsa Fong, RN, APRN, MSN's National Provider Identifier is 1386339091, issued on Apr 7, 2023. The primary taxonomy on file is Pediatric Clinical Nurse Specialist (364SP0200X), and the practice location is in San Diego, CA. The record was last updated on Apr 7, 2023.