Healthcare Provider Details

I. General information

NPI: 1366347627
Provider Name (Legal Business Name): JENNIFER MARIE DALMONTE DNP, ACCNS-P, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

3020 CHILDRENS WAY
SAN DIEGO CA
92123-4223
US

IV. Provider business mailing address

512 PALOMAR AVE
LA JOLLA CA
92037-6142
US

V. Phone/Fax

Practice location:
  • Phone: 858-966-8523
  • Fax:
Mailing address:
  • Phone: 610-680-6639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number5013
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: