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

Prince M Jose

Individual provider Registered Nurse · NPI 1972134047

Prince M Jose is a Registered Nurse in Fairfield, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

1818 Ashford Ct
Fairfield, CA 94533-8997
Phone: (404) 680-0996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 751524 (CA)

Record details

NPI number1972134047
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 28, 2020
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020
Mailing address1818 Ashford Ct, Fairfield, CA 94533-8997

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