IndividualActive
Jacqueline Close, GCNS-BC
NPI 1780212993 · Gerontology Clinical Nurse Specialist · San Diego, CA
Provider details
- NPI number
- 1780212993
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- GCNS-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 2385 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11188 Carlota St
San Diego, CA 92129-1212
Phone: (858) 775-3154
Approximate (ZIP-level) locationGet directions
Mailing address
11188 Carlota St
San Diego, CA 92129-1212
Registry dates
- Enumerated
- 2020-04-01
- Last updated
- 2020-04-01
- Certified
- 2020-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.