Provider Demographics
NPI:1891961488
Name:TOMPKINS, PATRICIA JEANNE (NP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:JEANNE
Last Name:TOMPKINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 PHILLIPS ST
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-7119
Mailing Address - Country:US
Mailing Address - Phone:760-685-2378
Mailing Address - Fax:619-374-2221
Practice Address - Street 1:1330 PHILLIPS ST
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-7119
Practice Address - Country:US
Practice Address - Phone:760-685-2379
Practice Address - Fax:619-374-2221
Is Sole Proprietor?:No
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA186287363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health