Individual provider · Type 1 NPI

Jesse Korth, NP-C

Family Nurse Practitioner · San Jose, CA

NPI number 1457870586 Active

Practice location

255 N White Rd Ste 200
San Jose, CA 95127-1966

Mailing address

PO Box 28782
San Jose, CA 95159-8782

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X238714 (NC)
Critical Care Medicine Registered Nurse 163WC0200X87827 (WV)
Critical Care Medicine Registered Nurse 163WC0200X95028029 (CA)
Family Nurse Practitioner Primary 363LF0000X95012974 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1457870586

Jesse Korth, NP-C's National Provider Identifier is 1457870586, issued on Sep 9, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Jose, CA. The record was last updated on Dec 30, 2019.