NPI 1003213679

Jodie Sugiyama, GNP

Practitioner Gerontology Nurse Practitioner San Jose, CA

Practice location

Address: 4850 Union Ave, San Jose, CA 95124-5156
Phone: (408) 559-5600

Registered specialties

Gerontology Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LG0600X Licence 383997 (CA)

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Registry record

NPI: 1003213679
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Nov 2014
Record last updated: 26 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.