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

Jonathan Frederick Mack, NP

Individual provider Nurse Practitioner · NPI 1922230747

Jonathan Frederick Mack, NP is a Nurse Practitioner in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
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

6822 Lake Ct
San Diego, CA 92111-7023
Phone: (858) 229-7232
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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 359079 (CA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 359079 (CA)

Record details

NPI number1922230747
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedAugust 12, 2009
Last updated in NPPESAugust 12, 2009

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