Jessen, Jennifer Ann

Jessen, Jennifer Ann is an individual health care provider with primary practice located at 1100 W Stewart Dr , Orange CA 92868-3849. 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. Jessen, Jennifer Ann can be contacted via phone (714) 633-9111.

Contact Information

Primary practice address
1100 W Stewart Dr Orange CA 92868-3849
Phone: (714) 633-9111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP 14907 California

Profile Details

NPI number 1982893566
LBN Legal business name Jessen, Jennifer Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2007
Last updated Dec 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982893566 NPPES
California MEDICAID RN544648

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