Jane E Kennedy in Santa Rosa - Nurse Practitioner
Jane E Kennedy - NPI 1679792071
Jane E Kennedy is a Nurse Practitioner in Santa Rosa, California. Jane E Kennedy practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jane E Kennedy is 1679792071. The last update date is 2018-03-17.
Jane E Kennedy's current location address is 2455 Bennett Valley Rd Ste B205, Santa Rosa, California. You can contact this provider via phone number 7075369722 and fax number 7078435475. The mailing address for Jane E Kennedy is 2455 Bennett Valley Rd Ste B205, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jane E Kennedy |
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Address | 2455 Bennett Valley Rd Ste B205, Santa Rosa, California |
Phone Number | 7075369722 |
Fax Number | 7078435475 |
Sole Proprietor | Y |
Credentials | NP |
NPI Number Detail
NPI Number | 1679792071 |
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Provider Enumeration Date | 2007-04-24 |
Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
Address | 2455 Bennett Valley Rd Ste B205 |
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City | Santa Rosa |
State | California (CA) |
Post Code | 954045667 |
Phone Number | 7075369722 |
Fax Number | 7078435475 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | 13881 |
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 |
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What is the unique 10-digit identifier code assigned to Jane E Kennedy by the Centers for Medicare & Medicaid Services?
The Jane E Kennedy has been issued the NPI (National Provider Identifier) 1679792071 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jane E Kennedy?
The Jane E Kennedy is physically situated at 2455 Bennett Valley Rd Ste B205, in the city of Santa Rosa, state of CA, with the postal code 954045667.
What is Jane E Kennedy's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jane E Kennedy is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679792071 to Jane E Kennedy?
The Jane E Kennedy received its 1679792071 assignment from the Centers for Medicare & Medicaid Services on 2007-04-24.
When was the information regarding Jane E Kennedy most recently updated?
The details pertaining to the Jane E Kennedy, including its address, specialty, and other relevant information, were last refreshed on 2018-03-17.