Individual provider · Type 1 NPI
Jonathan Frederick Mack, N.P.
Nurse Practitioner · San Diego, CA
Practice location
6822 Lake Ct
San Diego, CA 92111-7023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 359079 (CA) |
| Acute Care Nurse Practitioner | 363LA2100X | 359079 (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 1922230747
Jonathan Frederick Mack, N.P.'s National Provider Identifier is 1922230747, issued on Aug 12, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Diego, CA. The record was last updated on Aug 12, 2009.