Amos, Jennifer

Amos, Jennifer is an individual health care provider with primary practice located at 12141 Brookhurst St , Garden Grove CA 92840-2865. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Amos, Jennifer can be contacted via phone (714) 296-1934.

Contact Information

Primary practice address
12141 Brookhurst St Garden Grove CA 92840-2865
Phone: (714) 296-1934
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP95009983 California

Profile Details

NPI number 1043761000
LBN Legal business name Amos, Jennifer
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2016
Last updated Feb 7th, 2023 - about 3 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 1043761000 NPPES
California Other 000000000000 N/A

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