Healthcare Provider Details

I. General information

NPI: 1962339986
Provider Name (Legal Business Name): TINA JESSANI RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5820 OWENS DR
PLEASANTON CA
94588-3900
US

IV. Provider business mailing address

2359 GIANERA ST
SANTA CLARA CA
95054-1322
US

V. Phone/Fax

Practice location:
  • Phone: 408-313-6323
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number695430
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: