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NPI Code Detail

MEDICARE: MRS. JESSICA FANT NORKOSKI NP

MEDICARE: MRS. JESSICA FANT NORKOSKI NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner95003629CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104283860
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JESSICA FANT NORKOSKI NP
Provider Business Mailing Address
First Line : 130 SUTTER ST FL 2
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94104-4009
Country : US
Telephone Number : 415-658-6791
Fax Number :
Provider Business Practice Location Address
First Line : 900 VETERANS BLVD STE 150
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94063-1741
Country : US
Telephone Number : 888-663-6331
Fax Number : 415-252-7176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2016
Last Update Date : 03/17/2025

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