Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kaishawn D. McDuffie, NP

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720604481

Dr. Kaishawn D. McDuffie, NP is a Student in an Organized Health Care Education/Training Program in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

77 Casa St Ste 201
San Luis Obispo, CA 93405-5806
Phone: (805) 269-1500
Fax: (805) 269-1585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95018838 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720604481
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 18, 2020
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022

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