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

Mrs. Divina Javier Fernandez, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1750653929

Mrs. Divina Javier Fernandez, NURSEPRACTITIONER is a Nurse Practitioner in Stockton, California. Qualified in 2009, 17 years ago. Practices with P. Gill Obstetrics and Gynecology Medical Group, Inc, a 13-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Licensed in
CA
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1801 E March Ln Ste C320
Stockton, CA 95210-6676
Phone: (209) 957-5888
Fax: (209) 477-9339
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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 NP19792 (CA)
Registered Nurse Taxonomy 163W00000X · Licence RN657995 (CA)

Record details

NPI number1750653929
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedFebruary 3, 2012
Last updated in NPPESFebruary 3, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice P. Gill Obstetrics And Gynecology Medical Group, Inc. — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stockton