Jessica Burley, FNP
Individual provider Active NPI Hospitalist Physician · Coronado, CA
NPI 1770036352 · NPPES record last updated Jul 29, 2016
Key facts
- NPI
- 1770036352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 749349 (CA)
- Practice address
- 250 Prospect PL
Coronado, CA 92118-1943 - Phone
- (619) 522-4000
- NPI assigned
- Jul 29, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22917 | CA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 749349 | CA | Yes |
Addresses
Primary practice location
250 Prospect PL
Coronado, CA 92118-1943
Mailing address
250 Prospect PL
Coronado, CA 92118-1943
Phone (619) 522-4000
Other providers in Coronado, CA
- Janeza Bridges
- Jacqueline Brogan
- Wanda L. Brothers
- Mitchell Brown
- Han Nguyen Bui
- Kimberly Byers-Lund
- James Maurice Cahill Jr.
- Eileen Anne Callahan
- D Michael Campbell Jr.
- Shelly Suzanne Capitanich
All providers in Coronado, CA · Hospitalist Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.