Pettibone, Jennifer Ruth
Pettibone, Jennifer Ruth is an individual health care provider with primary practice located at 2101 Courage Dr Ms-10-200, Fairfield CA 94533-6717. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Pettibone, Jennifer Ruth can be contacted via phone (707) 784-2154.Contact Information
Primary practice address
2101 Courage Dr Ms-10-200
Fairfield CA 94533-6717
Phone: (707) 784-2154
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 464317 | California |
Profile Details
NPI number | 1003004474 |
---|---|
LBN Legal business name | Pettibone, Jennifer Ruth |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 10th, 2007 |
Last updated | Oct 10th, 2007 - about 17 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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