Individual provider · Type 1 NPI
Jessica Juanita Brazel, AGPCNP
Gerontology Nurse Practitioner · San Diego, CA
NPI number
1952818601
Active
Practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Fax (888) 539-8781
Mailing address
File 57326
Los Angeles, CA 90074-7326
Other practice locations
- 9333 Genesee Ave Ste 310, San Diego, CA 92121-2103 · (800) 926-8273
- 7901 Frost St, San Diego, CA 92123 · (858) 939-3400
- 3131 Berger Ave Ste 200, San Diego, CA 92123-4203 · (858) 244-6865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95005501 (CA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 95005501 (CA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1952818601
Jessica Juanita Brazel, AGPCNP's National Provider Identifier is 1952818601, issued on Jan 3, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in San Diego, CA. The record was last updated on Jun 23, 2026.