Provider Demographics
NPI:1881140044
Name:EDWARDS, QUESTA JENIYA (FNP-C)
Entity type:Individual
Prefix:MS
First Name:QUESTA
Middle Name:JENIYA
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:QUESTA
Other - Middle Name:JENIYA
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 EMBARCADERO CTR STE 19
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-3628
Mailing Address - Country:US
Mailing Address - Phone:415-658-6791
Mailing Address - Fax:661-256-9295
Practice Address - Street 1:2559 W ROSAMOND BLVD STE D
Practice Address - Street 2:
Practice Address - City:ROSAMOND
Practice Address - State:CA
Practice Address - Zip Code:93560-6267
Practice Address - Country:US
Practice Address - Phone:661-256-6365
Practice Address - Fax:661-256-9295
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95008270363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily