Individual provider · Type 1 NPI

Ijose Beverly, NP

Nurse Practitioner · San Diego, CA

NPI number 1689097065 Active

Practice location

3434 Midway Dr Ste 2001
San Diego, CA 92110-4924

Call (619) 325-1161 Map

Fax (619) 325-1717

Other practice locations

  • 340 Fourth Ave Ste 19, Chula Vista, CA 91910-3898 · (619) 761-5308

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X806970 (CA)
Nurse Practitioner Primary 363L00000X95000198 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1689097065

Ijose Beverly, NP's National Provider Identifier is 1689097065, issued on Jan 21, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Diego, CA. The record was last updated on Jul 31, 2024.