Healthcare Provider Details

I. General information

NPI: 1477344208
Provider Name (Legal Business Name): JESSICA MARIE CHASE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 PARNASSUS AVE
SAN FRANCISCO CA
94143-2203
US

IV. Provider business mailing address

3217 LOUISE ST
OAKLAND CA
94608-4121
US

V. Phone/Fax

Practice location:
  • Phone: 415-350-5825
  • Fax: 415-353-4716
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP95037599
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number824861
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: