Provider Demographics
NPI:1487855631
Name:JONTE, JANET D (NP)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:D
Last Name:JONTE
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1300 BANCROFT AVE STE G4
Mailing Address - Street 2:UCSF PEDIATRIC DIVISION
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-5141
Mailing Address - Country:US
Mailing Address - Phone:510-278-3834
Mailing Address - Fax:510-483-1099
Practice Address - Street 1:1300 BANCROFT AVE STE G4
Practice Address - Street 2:UCSF PEDIATRIC DIVISION
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-5141
Practice Address - Country:US
Practice Address - Phone:510-278-3834
Practice Address - Fax:510-483-1099
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN302267163WP2201X
CANP4259363LW0102X
CANPF4259363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
031906OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER