Individual provider · Type 1 NPI

Divina Javier Fernandez, NURSE PRACTITIONER

Nurse Practitioner · Stockton, CA

NPI number 1750653929 Active

Practice location

1801 E. March Lane, Ste C320
Stockton, CA 95210-6676

Fax (209) 477-9339

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN657995 (CA)
Nurse Practitioner Primary 363L00000XNP19792 (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 1750653929

Divina Javier Fernandez, NURSE PRACTITIONER's National Provider Identifier is 1750653929, issued on Feb 3, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Stockton, CA. The record was last updated on Feb 3, 2012.