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NPI Code Detail

MEDICARE: JULIE DEIGNAN MSN, RN

MEDICARE: JULIE DEIGNAN MSN, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered Nurse95106177CA
2363LF0000XFamily Nurse Practitioner95005401CA

General Provider Information

NPI Number : 1518409861
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE DEIGNAN MSN, RN
Provider Business Mailing Address
First Line : 3465 LOCHINVAR AVE APT 106
Second Line :
City : SANTA CLARA
State : CA
Zip : 95051-8106
Country : US
Telephone Number : 502-338-5893
Fax Number :
Provider Business Practice Location Address
First Line : 1889 LAWRENCE RD
Second Line :
City : SANTA CLARA
State : CA
Zip : 95051-2166
Country : US
Telephone Number : 408-345-3992
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2016
Last Update Date : 11/26/2025

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