Roberts, Jennifer Fellini

Roberts, Jennifer Fellini is an individual health care provider with primary practice located at 9300 Valley Childrens Pl , Madera CA 93636-8761. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Roberts, Jennifer Fellini can be contacted via phone (559) 353-6767.

Contact Information

Primary practice address
9300 Valley Childrens Pl Madera CA 93636-8761
Fax: (559) 353-6769
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN516981 California

Profile Details

NPI number 1982630885
LBN Legal business name Roberts, Jennifer Fellini
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Oct 12th, 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 1982630885 NPPES
California MEDICAID NP19594

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