Provider Demographics
NPI:1023656048
Name:DUGAN, GEE YEOUN (FNP-C)
Entity type:Individual
Prefix:
First Name:GEE YEOUN
Middle Name:
Last Name:DUGAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:GEE YEOUN
Other - Middle Name:
Other - Last Name:RYU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:1615 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-2871
Mailing Address - Country:US
Mailing Address - Phone:858-431-9845
Mailing Address - Fax:
Practice Address - Street 1:1000 VALE TERRACE DR
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084-5218
Practice Address - Country:US
Practice Address - Phone:760-631-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95011056363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily