Hefner, Jeanette Marie
Hefner, Jeanette Marie is an individual health care provider with primary practice located at 15740 Turnberry St , Moreno Valley CA 92555-4903. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Nursing Service Related Providers / Day Training/Habilitation Specialist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Hefner, Jeanette Marie can be contacted via phone (951) 214-3675.Contact Information
Primary practice address
15740 Turnberry St
Moreno Valley CA 92555-4903
Phone: (951) 214-3675
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | California | |
| Other Service Providers / Community Health Worker | 172V00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | ||
| Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 19599 | California |
Profile Details
| NPI number | 1366167967 |
|---|---|
| LBN Legal business name | Hefner, Jeanette Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2022 |
| Last updated | Jul 16th, 2025 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366167967 | NPPES |
| California | Other | 1366167967 | NPI |
| California | MEDICAID | A6071953 | NPI |
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