Diana Wong Jow, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Reedley, CA
NPI 1952996902 · NPPES record last updated Jul 21, 2021
Key facts
- NPI
- 1952996902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95017379 (CA)
- Practice address
- 2345 E Early Ave
Reedley, CA 93654-3274 - Phone
- (559) 393-7651
- NPI assigned
- Mar 2, 2021
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95017379 | CA | MD | Family Nurse Practitioner |
| F12200984 | CA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F12200984 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95017379 | CA | Yes |
Addresses
Primary practice location
2345 E Early Ave
Reedley, CA 93654-3274
Mailing address
2345 E Early Ave
Reedley, CA 93654-3274
Phone (559) 393-7651
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95017379 | Other | CA | BRN NP LICENSE # |
Other providers in Reedley, CA
- Mitchell Jelen
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- Eileen Rae Jimenez
- Mary Anne Johnson
- Jose Ricardo Gonzalez, D.D.S. a Dental Corporation
- Harinder Kaur
- Iqman Kaur
- Rajdeep Kaur
- KC-Kids Stars
- Sue Soojeong Kim
All providers in Reedley, CA · Family Nurse Practitioner 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 21, 2021. 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.