Healthcare Provider Details

I. General information

NPI: 1679825624
Provider Name (Legal Business Name): BRANDO JOBITY DNP FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2012
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLDG 390 NORTH LOOP ROAD
FORT IRWIN CA
92310
US

IV. Provider business mailing address

BLDG 390 NORTH LOOP ROAD
FORT IRWIN CA
92310
US

V. Phone/Fax

Practice location:
  • Phone: 760-383-5005
  • Fax:
Mailing address:
  • Phone: 760-383-5005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number337507
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number337505
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number337507
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: