Jennifer M Dejarnett in Fontana - Physician Assistant

Jennifer M Dejarnett - NPI 1639295884

Jennifer M Dejarnett is a Physician Assistant in Fontana, California. Jennifer M Dejarnett practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer M Dejarnett is 1639295884. The last update date is 2022-02-16.

Jennifer M Dejarnett's current location address is 9961 Sierra Ave, Fontana, California. You can contact this provider via phone number 9094273910. The mailing address for Jennifer M Dejarnett is 9961 Sierra Ave, Fontana, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer M Dejarnett
Address 9961 Sierra Ave, Fontana, California
Phone Number 9094273910
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1639295884
Provider Enumeration Date 2007-03-21
Last Updated Date 2022-02-16

Provider Mailing Address Detail

Address 9961 Sierra Ave
City Fontana
State California (CA)
Post Code 923356720
Phone Number 9094273910
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA17611
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Jennifer M Dejarnett

What is the unique provider identifier assigned to Jennifer M Dejarnett?

The Jennifer M Dejarnett has been issued the NPI (National Provider Identifier) 1639295884 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Jennifer M Dejarnett is physically located?

The Jennifer M Dejarnett is physically situated at the following address: 9961 Sierra Ave, Fontana, CA, 923356720.

What is Jennifer M Dejarnett's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jennifer M Dejarnett's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1639295884 to Jennifer M Dejarnett?

The Centers for Medicare & Medicaid Services assigned the 1639295884 to Jennifer M Dejarnett on 2007-03-21.

When was the information regarding Jennifer M Dejarnett most recently updated?

The details pertaining to the Jennifer M Dejarnett, including its address, specialty, and other relevant information, were last refreshed on 2022-02-16.

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