Provider Demographics
NPI:1104375005
Name:BUDNIK, JOLANTA URSZULA (BSN, MSN, PHHNP-BC)
Entity Type:Individual
Prefix:
First Name:JOLANTA
Middle Name:URSZULA
Last Name:BUDNIK
Suffix:
Gender:F
Credentials:BSN, MSN, PHHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 VIA MIL CUMBRES UNIT 89
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-1705
Mailing Address - Country:US
Mailing Address - Phone:347-221-3967
Mailing Address - Fax:
Practice Address - Street 1:930 VIA MIL CUMBRES UNIT 89
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1705
Practice Address - Country:US
Practice Address - Phone:347-221-3967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-03
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95164201163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health