TABASSOM NIGHTINGALE - NPI 1669353611 - Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Tabassom Nightingale NPPES

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

TABASSOM NIGHTINGALE (NPI 1669353611) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1669353611

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameTABASSOM NIGHTINGALE

Location Address955 GATEWAY CENTER WAY STE 101San Diego, CA 92102-4542

Mailing Address955 Gateway Center Way Ste 101, Ste 101San Diego, CA 92102-4542 · (619) 772-2579

Phone(619) 772-2579

Sole ProprietorYes

Enumeration DateSeptember 8, 2025

NPPES CertifiedSeptember 8, 2025

✔ NPI 1669353611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

955 GATEWAY CENTER WAY STE 101, San Diego, CA 92102

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Frequently Asked Questions

What is Tabassom Nightingale's NPI number?

The NPI number assigned to this healthcare provider is 1669353611, enumerated as an "individual" on September 08, 2025.

Where is the provider located?

The provider is located at 955 GATEWAY CENTER WAY STE 101 SAN DIEGO, CA 92102 and the phone number is (619) 772-2579.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.