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

Sophea Pann, RN

Individual provider Registered Nurse · NPI 1629350236

Sophea Pann, RN is a Registered Nurse in Modesto, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

800 Scenic Dr
Modesto, CA 95350-6131
Phone: (209) 558-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence 792247 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 792247 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 22774 (CA)

Record details

NPI number1629350236
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedSeptember 9, 2011
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023
Mailing address1904 Richland Ave Bldg C-2, Ceres, CA 95307-4562

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