NICHOLE JIMMI
NPI 1922476886
Registered Nurse - Psychiatric/Mental Health, Adult in San Diego, CA
Active since September 09, 2015
About Nichole Jimmi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLE JIMMI (NPI 1922476886) is an individual psychiatric/mental health, adult provider in San Diego, California, licensed in California (95061156) and active in the NPI registry since September 2015.
NPPES Registry Identity
NPI1922476886
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameNICHOLE JIMMI
Location Address1670 KETTNER BLVD, APT 122San Diego, CA 92101-2522
Mailing Address1670 Kettner Blvd, Apt 122San Diego, CA 92101-2522 · (561) 674-4994
Phone(561) 674-4994
Sole ProprietorYes
Enumeration DateSeptember 9, 2015
Last NPPES UpdateSeptember 10, 2015
✔ NPI 1922476886 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in CA · 95061156
Also ListedPsychiatric HospitalTaxonomy 283Q00000X · License 95061156 (CA)
1670 KETTNER BLVD, San Diego, CA 92101
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922476886, enumerated as an "individual" on September 09, 2015.
The provider is located at 1670 KETTNER BLVD APT 122 SAN DIEGO, CA 92101 and the phone number is (561) 674-4994.
Registered Nurse with taxonomy code 163WP0809X and a focus in Psychiatric/Mental Health, Adult.