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JACKIE WIEDEMANN
NPI 1780731778
Nurse Practitioner - Family in Arcata, CA

Active since January 04, 2007

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie Wiedemann NPPES

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

JACKIE WIEDEMANN (NPI 1780731778) is an individual family provider in Arcata, California, licensed in California (333007) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1780731778
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACKIE WIEDEMANN
Location Address1 HARPST STArcata, CA 95521-8222
Mailing Address1 Harpst StArcata, CA 95521-8222 · (707) 826-3146
Phone(707) 826-3146
Sole ProprietorNo
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780731778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 333007
1 HARPST ST, Arcata, CA 95521
Open in Google Maps ↗

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.

THEA LAMERS
Health and Wellness Coach
1 HARPST ST
ARCATA, CA 95521
Humboldt County (707) 298-3890
JANIEL VEBEKE GIRALDO AMFT
Marriage & Family Therapist
1 HARPST ST
ARCATA, CA 95521
Humboldt County (707) 826-3236
CALIFORNIA STATE POLYTECHNIC UNIVERSITY, HUMBOLDT
Clinic/Center (Student Health)
1 HARPST ST, BUILDING 42
ARCATA, CA 95521
Humboldt County (707) 826-5019
DR. JENNIFER LIANNE SANFORD PHD
Psychologist (Clinical)
1 HARPST ST
ARCATA, CA 95521
Humboldt County (707) 826-5731
MICHELE C SCHNEIDER ATC
Specialist/Technologist (Athletic Trainer)
1 HARPST ST
ARCATA, CA 95521
Humboldt County (707) 499-9599
JAMIE JULIANNE GUTIERREZ
Marriage & Family Therapist
1 HARPST ST
ARCATA, CA 95521
Humboldt County (707) 826-3236
RUTH EPPERSON
Student in an Organized Health Care Education/Training Program
1 HARPST ST
ARCATA, CA 95521
Humboldt County (707) 826-3146
LINDA MARIE MORRISSEY
Social Worker (Clinical)
1 HARPST ST
ARCATA, CA 95521
Humboldt County (707) 826-3236

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Wiedemann's NPI number?

The NPI number for Jackie Wiedemann is 1780731778. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Jackie Wiedemann located?

Jackie Wiedemann practices at 1 Harpst St, Arcata, CA 95521. The listed phone number is (707) 826-3146.

What is Jackie Wiedemann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jackie Wiedemann was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.