MS. JANE KATHRYN EBERLEIN


Address: 1940 5th Ave, Suite 200, San Diego, CA 92101-2364
Phone: 6196832820

MS. JANE KATHRYN EBERLEIN (NPI# 1063643179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063643179
Entity Type Individual
Full Name MS. JANE KATHRYN EBERLEIN
Credential F.N.P.
Practice Address 1940 5th Ave
Suite 200
San Diego
CA 92101-2364
Practice Telephone 6196832820
Practice Fax Number 6196832825
Mailing Telephone 6196832820
Mailing Fax Number 6196832825
Enumeration Date 2009-08-06
Last Update Date 2009-08-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
9311 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1940 5TH AVE
SUITE 200
City SAN DIEGO
State CA
Zip Code 92101-2364

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1003415472 Ryanleo Flores Nurse Practitioner 2017 1st Avenue, Suite 301, San Diego, CA 92101 2020-10-18
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1982232591 John Meier Nurse Practitioner 3745 Riviera Dr Apt 10, San Diego, CA 92109-6661 2020-03-30
1013543008 Alex Choi Mara Nurse Practitioner 5248 Zephyr Ln Unit 24, San Diego, CA 92120-2749 2020-03-21
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1245876101 Katherine Baber Nurse Practitioner 3671 Fifth Ave, San Diego, CA 92103-4218 2019-11-25
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Competitor

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City SAN DIEGO
Zip Code 92101

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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