Provider Demographics
NPI:1528876612
Name:JARAMILLO, KATHRYN S (MSN RN CNS-BC AACC)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:S
Last Name:JARAMILLO
Suffix:
Gender:F
Credentials:MSN RN CNS-BC AACC
Other - Prefix:MS
Other - First Name:KAYE
Other - Middle Name:
Other - Last Name:JARAMILLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS RN CNS-BC AACC
Mailing Address - Street 1:170 JORDAN CT
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-5294
Mailing Address - Country:US
Mailing Address - Phone:408-712-5887
Mailing Address - Fax:
Practice Address - Street 1:2500 GRANT RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4302
Practice Address - Country:US
Practice Address - Phone:650-940-7000
Practice Address - Fax:650-988-7870
Is Sole Proprietor?:No
Enumeration Date:2024-12-21
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3025364S00000X, 364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist