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NPI Code Detail

MEDICARE: AMBER JEWISON CPNP-AC

MEDICARE: AMBER JEWISON CPNP-AC
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
1363LP0200XPediatric Nurse PractitionerNP95001096CA
2363LP0200XPediatric Nurse PractitionerAP128381TX

General Provider Information

NPI Number : 1922417765
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER JEWISON CPNP-AC
Provider Business Mailing Address
First Line : 4301 X ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2214
Country : US
Telephone Number : 916-703-3070
Fax Number : 916-703-3075
Provider Business Practice Location Address
First Line : 2315 STOCKTON BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2201
Country : US
Telephone Number : 800-823-4543
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2014
Last Update Date : 04/10/2026

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Directions to “ AMBER JEWISON CPNP-AC” Practice Location

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