Jewell, Jennifer

Jewell, Jennifer is an individual health care provider with primary practice located at 204 E Beach St , Watsonville CA 95076-4809. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Jewell, Jennifer can be contacted via phone (831) 728-0222.

Contact Information

Primary practice address
204 E Beach St Watsonville CA 95076-4809
Phone: (831) 728-0222
Fax: (831) 707-2777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 405554 California

Profile Details

NPI number 1700089224
LBN Legal business name Jewell, Jennifer
Credentials RNC,NP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2007
Last updated May 6th, 2016 - about 8 years ago

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 1700089224 NPPES
California Other 405554 CAL LICENSE NUMBER
California MEDICAID GR0070940 CAL LICENSE NUMBER
California Other NPF4763 CAL LICENSE NUMBER

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