Healthcare Provider Details

I. General information

NPI: 1356847149
Provider Name (Legal Business Name): YESSICA FLORES ESCOBAR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YESSICA FLORES NP

II. Dates (important events)

Enumeration Date: 04/02/2018
Last Update Date: 10/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 S GREEN VALLEY RD
WATSONVILLE CA
95076-3053
US

IV. Provider business mailing address

2350 W EL CAMINO REAL FL 2
MOUNTAIN VIEW CA
94040-6203
US

V. Phone/Fax

Practice location:
  • Phone: 831-458-5865
  • Fax:
Mailing address:
  • Phone: 408-607-9382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95008371
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: