Individual provider · Type 1 NPI

Mark-Mushtaq Javed Ahmed, NP

Nurse Practitioner · Mcclellan, CA

NPI number 1780652818 Active

Practice location

5342 Dudley Blvd
Mcclellan, CA 95652-1012

Call (916) 561-7473 Map

Fax (916) 561-7440

Mailing address

23 Goose Haven Ct
Sacramento, CA 95834-2506

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X466078 (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 1780652818

Mark-Mushtaq Javed Ahmed, NP's National Provider Identifier is 1780652818, issued on Mar 14, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mcclellan, CA. The record was last updated on Jul 8, 2007.