Fuentes, Jennifer Anne

Fuentes, Jennifer Anne is an individual health care provider with primary practice located at 1835 Sunny Crest Dr , Fullerton CA 92835-3616. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fuentes, Jennifer Anne can be contacted via phone (714) 446-5101.

Contact Information

Primary practice address
1835 Sunny Crest Dr Fullerton CA 92835-3616
Phone: (714) 446-5101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP14967 California

Profile Details

NPI number 1992906465
LBN Legal business name Fuentes, Jennifer Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Jun 1st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992906465 NPPES
California MEDICAID RN592742

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