Basic Information
| Provider Information | |||||||||
| NPI: | 1144594201 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PINDER | ||||||||
| FirstName: | JESS | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN, NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 201 SPEAR ST | ||||||||
| Address2: | SUITE 230 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941051630 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4155039277 | ||||||||
| FaxNumber: | 4152910489 | ||||||||
| Practice Location | |||||||||
| Address1: | 201 SPEAR ST | ||||||||
| Address2: | SUITE 230 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941051630 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4155039277 | ||||||||
| FaxNumber: | 4152910489 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2012 | ||||||||
| LastUpdateDate: | 12/15/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 753605 | CA | N | Nursing Service Providers | Registered Nurse | 163W00000X | R 203578-5 | MN | N | Nursing Service Providers | Registered Nurse | 363LA2200X | 21036 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health | 363LA2200X | R 203578-5 | MN | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.