Provider Demographics
NPI:1982990792
Name:MADFES, JESAHEL ALARCON (FNP)
Entity Type:Individual
Prefix:
First Name:JESAHEL
Middle Name:ALARCON
Last Name:MADFES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 2ND ST STE 415
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-4132
Mailing Address - Country:US
Mailing Address - Phone:415-529-4567
Mailing Address - Fax:415-291-0489
Practice Address - Street 1:501 2ND ST STE 415
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-4132
Practice Address - Country:US
Practice Address - Phone:415-529-4567
Practice Address - Fax:415-291-0489
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA755327163WC1500X
CA21042363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily