What is Jessica Wideman's NPI number?

Jessica Wideman's National Provider Identifier (NPI) is 1336002120, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jessica Wideman's specialty?

Jessica Wideman is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).

Where is Jessica Wideman located?

Jessica Wideman's practice location on file with NPPES is 10 Melrose Ct, San Mateo, CA 94402-3218.

What is Jessica Wideman's phone number?

The practice phone number listed in the NPPES registry for Jessica Wideman is (760) 807-4603.

Is Jessica Wideman's NPI active?

Yes — Jessica Wideman's NPI (1336002120) is active in the NPPES registry as of the last update on 2025-12-08.

IndividualActive

Jessica Wideman

NPI 1336002120 · Registered Nurse · San Mateo, CA

Jessica Wideman is a Registered Nurse provider in San Mateo, CA (NPI 1336002120).

Provider details

NPI number: 1336002120
Entity type: Individual
Primary specialty: Registered NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: 95030425 (CA)

Specialties & taxonomies

Registered NursePrimary163W00000XLicense 95030425 (CA)
Nursing Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

10 Melrose Ct

San Mateo, CA 94402-3218

Phone: (760) 807-4603

Street-level locationGet directions

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Mailing address