Healthcare Provider Details

I. General information

NPI: 1720973472
Provider Name (Legal Business Name): JESSICA ELIZABETH HOPE RN, MSN, WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3180 PORTER DR
PALO ALTO CA
94304-1212
US

IV. Provider business mailing address

439 CORREAS ST
HALF MOON BAY CA
94019-1892
US

V. Phone/Fax

Practice location:
  • Phone: 650-400-8989
  • Fax:
Mailing address:
  • Phone: 650-400-8989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number12338
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number578050
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: