Fernandez, Jennifer Susan

Fernandez, Jennifer Susan is an individual health care provider with primary practice located at 13800 Heacock St Ste C220 , Moreno Valley CA 92553-3363. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Fernandez, Jennifer Susan can be contacted via phone (951) 653-1800.

Contact Information

Primary practice address
13800 Heacock St Ste C220 Moreno Valley CA 92553-3363
Phone: (951) 653-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X California
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1750140596
LBN Legal business name Fernandez, Jennifer Susan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2024
Last updated Sep 25th, 2024 - about 2 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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