Healthcare Provider Details

I. General information

NPI: 1023990165
Provider Name (Legal Business Name): CHRISTIAN DURAND PMHNP-BC, RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 N MARKET ST STE 300
SAN JOSE CA
95113-1211
US

IV. Provider business mailing address

2 N MARKET ST STE 300
SAN JOSE CA
95113-1211
US

V. Phone/Fax

Practice location:
  • Phone: 510-210-3233
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95037447
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number95344774
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: