Reddick, Jan Marie

Reddick, Jan Marie is an individual health care provider with primary practice located at 1801 E Cotati Ave , Rohnert Park CA 94928-3613. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Reddick, Jan Marie can be contacted via phone (707) 664-2921.

Contact Information

Primary practice address
1801 E Cotati Ave Rohnert Park CA 94928-3613
Fax: (707) 664-2925
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN270680 California

Profile Details

NPI number 1689880254
LBN Legal business name Reddick, Jan Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jul 8th, 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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