Provider Demographics
NPI:1063216737
Name:BUISON, JONANA LOU OPENA (FNP-C)
Entity type:Individual
Prefix:
First Name:JONANA LOU
Middle Name:OPENA
Last Name:BUISON
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:JONANA
Other - Middle Name:
Other - Last Name:BUISON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:36 GRETSTONE PLACE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565
Mailing Address - Country:US
Mailing Address - Phone:510-676-8301
Mailing Address - Fax:
Practice Address - Street 1:180 E LELAND RD
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-4949
Practice Address - Country:US
Practice Address - Phone:925-566-0999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95032702363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner