Individual provider · Type 1 NPI
Justina Wong, CNP
Adult Health Nurse Practitioner · San Diego, CA
NPI number
1548918972
Active
Practice location
111 Elm St
San Diego, CA 92101-2692
Mailing address
5550 Balboa Arms Dr Apt 18
San Diego, CA 92117-5048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 95020317 (CA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 95020317 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1548918972
Justina Wong, CNP's National Provider Identifier is 1548918972, issued on Mar 15, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in San Diego, CA. The record was last updated on Mar 15, 2022.