Provider Demographics
NPI:1134139546
Name:OSEGUEDA, JAYNE DANSKY (NMW)
Entity Type:Individual
Prefix:
First Name:JAYNE
Middle Name:DANSKY
Last Name:OSEGUEDA
Suffix:
Gender:F
Credentials:NMW
Other - Prefix:
Other - First Name:JAYNE
Other - Middle Name:
Other - Last Name:DANSKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNM, MSN,RN
Mailing Address - Street 1:34800 BOB WILSON DR STE 3
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92134-1003
Mailing Address - Country:US
Mailing Address - Phone:619-532-7082
Mailing Address - Fax:
Practice Address - Street 1:34800 BOB WILSON DR FL 1
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-6720
Practice Address - Country:US
Practice Address - Phone:619-532-7082
Practice Address - Fax:619-532-6587
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1394367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife