Justin Deffebach

Registered Nurse First Assistant · Clovis, CA

Individual Active NPI

NPI number 1265255806

Practice location

2755 Herndon Ave
Clovis, CA 93611-6800
Phone
(559) 324-4000

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NPI record

NPI
1265255806
Entity type
Individual (Type 1)
Enumeration date
November 4, 2024
Last updated
November 4, 2024
Certified
November 3, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse First Assistant Primary 163WR0006X 95134058 CA

Mailing address

3148 N Bridle Ave
Fresno, CA 93727-9115
Phone
(559) 720-8026

About Justin Deffebach

Justin Deffebach is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse First Assistant (code 163WR0006X). The practice location is 2755 Herndon Ave, Clovis, CA 93611-6800. The NPI number 1265255806 was assigned on November 4, 2024 and the record was last updated on November 4, 2024.

Justin Deffebach lists a license in the registry: #95134058 (CA) for Registered Nurse First Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Justin Deffebach?

The NPI number is 1265255806.

What is the phone number of Justin Deffebach?

The phone number listed for the practice location is (559) 324-4000.

Where is Justin Deffebach located?

2755 Herndon Ave, Clovis, CA 93611-6800.

What is the taxonomy code for Justin Deffebach?

The primary taxonomy code is 163WR0006X – Registered Nurse First Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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