Healthcare Provider Details

I. General information

NPI: 1184809857
Provider Name (Legal Business Name): JULIE ELAINE JAY R.N.,N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2007
Last Update Date: 12/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 CALIFORNIA ST SUITE245,BOX0503
SAN FRANCISCO CA
94118-1981
US

IV. Provider business mailing address

3333 CALIFORNIA STREET SUITE 245, BOX 0503
SAN FRANCISCO CA
94118-0503
US

V. Phone/Fax

Practice location:
  • Phone: 415-338-1483
  • Fax:
Mailing address:
  • Phone: 415-338-1483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number332939
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: