Individual provider · Type 1 NPI
Jennifer Ward Pucci, NP
Family Nurse Practitioner · San Diego, CA
NPI number
1649942467
Active
Practice location
4077 5th Ave
San Diego, CA 92103-2105
Mailing address
302 Washington St # 844
San Diego, CA 92103-2110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95018543 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1649942467
Jennifer Ward Pucci, NP's National Provider Identifier is 1649942467, issued on Sep 30, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Oct 8, 2021.