Healthcare Provider Details

I. General information

NPI: 1316901689
Provider Name (Legal Business Name): ESKER-D LIGON RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 01/03/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1761 BROADWAY ST SUITE 100
VALLEJO CA
94589-2226
US

IV. Provider business mailing address

1800 HARRISON ST 7TH FLOOR
OAKLAND CA
94612-3466
US

V. Phone/Fax

Practice location:
  • Phone: 707-645-2700
  • Fax:
Mailing address:
  • Phone: 707-651-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number15219
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number15219
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number15219
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number15219
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: