Provider Demographics
NPI:1184809857
Name:JAY, JULIE ELAINE (RN,NP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ELAINE
Last Name:JAY
Suffix:
Gender:F
Credentials:RN,NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 CALIFORNIA STREET
Mailing Address - Street 2:SUITE 245, BOX 0503
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-0503
Mailing Address - Country:US
Mailing Address - Phone:415-338-1483
Mailing Address - Fax:
Practice Address - Street 1:3333 CALIFORNIA ST
Practice Address - Street 2:SUITE245,BOX0503
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1981
Practice Address - Country:US
Practice Address - Phone:415-338-1483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332939163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory