Provider Demographics
NPI:1265973184
Name:JAPPY, COLETTE (ACCNS-AG)
Entity type:Individual
Prefix:
First Name:COLETTE
Middle Name:
Last Name:JAPPY
Suffix:
Gender:F
Credentials:ACCNS-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 HYDE ST
Mailing Address - Street 2:DEPT OF EDUCATION, 58 BUILDING, 3RD FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-4806
Mailing Address - Country:US
Mailing Address - Phone:415-353-6181
Mailing Address - Fax:
Practice Address - Street 1:900 HYDE ST
Practice Address - Street 2:DEPT OF EDUCATION, 58 BUILDING, 3RD FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4806
Practice Address - Country:US
Practice Address - Phone:415-353-6181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-10
Last Update Date:2017-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4365364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care