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Search › California › Family Nurse Practitioner

Jeremy Clookie, FNP

NPI 1447420252 · on the registry since 2008 · sole proprietor

Practice

Address
3940 Home Ave
San Diego, CA 92105
Phone
(619) 262-8000
Organisation at this address
Home Avenue Ctc
Duangtavan Sourivong
Crc Home Avenue Clinic
San Diego Treatment Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Also registered as
Licensed Vocational Nurse
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-06-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California