JEANETTE FEDASZ FNP
NPI 1063580322
Nurse Practitioner in San Jose, CA

Q: What is Jeanette Fedasz's NPI number?

The NPI number for Jeanette Fedasz is 1063580322. It was assigned to this individual provider in the NPPES registry on December 2, 2006.

Q: What is Jeanette Fedasz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeanette Fedasz was last updated on January 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 02, 2006

55 E JULIAN ST, MEDICAL ADMINISTRATION, SAN JOSE, CA 95112(408) 918-2600(408) 795-1129 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jeanette Fedasz Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANETTE FEDASZ FNP (NPI 1063580322) is an individual nurse practitioner in San Jose, California, licensed in California (NP15814) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1063580322

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJEANETTE FEDASZCredential: FNP

Location Address55 E JULIAN ST, MEDICAL ADMINISTRATIONSan Jose, CA 95112-4007

Mailing Address55 E Julian St, Medical Administration Dept.San Jose, CA 95112-4007 · (408) 918-2600 · Fax (408) 795-1129

Phone(408) 918-2600

Fax(408) 795-1129

Sole ProprietorNo

Enumeration DateDecember 2, 2006

Last NPPES UpdateJanuary 3, 2011

✔ NPI 1063580322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP15814

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

55 E JULIAN ST, San Jose, CA 95112

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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