Stephanie D Jenniches in Upland - Nurse Practitioner

Stephanie D Jenniches - NPI 1114940988

Stephanie D Jenniches is a Nurse Practitioner in Upland, California. Stephanie D Jenniches practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Stephanie D Jenniches is 1114940988. The last update date is 2007-07-08.

Stephanie D Jenniches's current location address is 999 San Bernardino Rd, Upland, California. You can contact this provider via phone number 9099852811 and fax number 8185872493. The mailing address for Stephanie D Jenniches is 999 San Bernardino Rd, Upland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephanie D Jenniches
Address 999 San Bernardino Rd, Upland, California
Phone Number 9099852811
Fax Number 8185872493
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1114940988
Provider Enumeration Date 2006-07-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 999 San Bernardino Rd
City Upland
State California (CA)
Post Code 917864920
Phone Number 9099852811
Fax Number 8185872493

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No NP9412
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
RN513294 CA --

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FAQs about Stephanie D Jenniches

What is the Stephanie D Jenniches's unique identification number?

The Stephanie D Jenniches has been assigned the NPI (National Provider Identifier) Number 1114940988 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Stephanie D Jenniches is physically located?

The Stephanie D Jenniches is physically situated at the following address: 999 San Bernardino Rd, Upland, CA, 917864920.

What is Stephanie D Jenniches's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Stephanie D Jenniches is Nurse Practitioner, and the taxonomy code that categorizes this field of expertise is 363L00000X.

When did Stephanie D Jenniches receive its 1114940988 assignment?

The Stephanie D Jenniches was assigned its 1114940988 on 2006-07-25, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Stephanie D Jenniches last refreshed?

The information related to the Stephanie D Jenniches, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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