Whalio Doctors

NPI 1053921064

Jessica Stankiewicz Lightcap, MSNRNACCNSP

Practitioner Pediatric Clinical Nurse Specialist Oakland, CA

Practice location

Address
747 52nd St, Oakland, CA 94609-1809
Phone
(510) 428-3885
Fax
(510) 597-7194

Registered specialties (2)

Pediatric Clinical Nurse Specialist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0200X Licence CNS4808 (CA)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence RN810614 (CA)

Registry record

NPI
1053921064
Entity type
Individual
Sex (as registered)
Female
NPI issued
4 Aug 2020
Record last updated
4 Aug 2020

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.