Healthcare Provider Details

I. General information

NPI: 1033879614
Provider Name (Legal Business Name): MRS. JAMIE VERONICA CONSIDINE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/23/2021
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 PESETAS LN
SANTA BARBARA CA
93110-1416
US

IV. Provider business mailing address

215 PESETAS LN
SANTA BARBARA CA
93110-1416
US

V. Phone/Fax

Practice location:
  • Phone: 805-563-6110
  • Fax:
Mailing address:
  • Phone: 805-563-6110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95020058
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: