Detisch, Jennifer Lynne

Detisch, Jennifer Lynne is an individual health care provider with primary practice located at 1000 Vale Terrace Dr , Vista CA 92084-5218. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Detisch, Jennifer Lynne can be contacted via phone (760) 631-5000.

Contact Information

Primary practice address
1000 Vale Terrace Dr Vista CA 92084-5218
Phone: (760) 631-5000
Fax: (760) 414-3713
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 16773 California

Profile Details

NPI number 1730215534
LBN Legal business name Detisch, Jennifer Lynne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Nov 30th, 2021 - about 5 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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