Jessica Corley

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

4125 Issued in CA

Practice address

11914 Meriden LN
San Diego, CA 92128-4338

Phone

(508) 450-8179

NPI assigned

Aug 26, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1285353607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 MERIDEN LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284338",
            "telephone_number": "508-450-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 MERIDEN LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284338",
            "telephone_number": "508-450-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "4125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Corley, BCBA
• Deandra Corley
• Jacqueline Cecilia Corley
• Jeffrey Patrick Corley
• Jeneen D Corley
• Sarange Corley
• Riley Cormack, MA, LPCC
• Daniel Michael Corman, DO
• Julia Lucia Cormano, M.D.
• Joanna Rachel Corn, MS, RD, CNSD

• Clinical Nurse Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.