Individual provider · Type 1 NPI

Jerusalem Makonnen, RN, MSN, FNP

Nurse Practitioner · Oakland, CA

NPI number 1972510022 Active

Practice location

3850 Grand Ave
Oakland, CA 94610-1004

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X8911 (CA)
Nurse Practitioner Primary 363L00000X8911 (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 1972510022

Jerusalem Makonnen, RN, MSN, FNP's National Provider Identifier is 1972510022, issued on Aug 2, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Oakland, CA. The record was last updated on Feb 12, 2024.