Mclean-Madera, Jennifer

Mclean-Madera, Jennifer is an individual health care provider with primary practice located at 1200 W Hillcrest Dr Ste. 100, Thousand Oaks CA 91320-2734. 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. Mclean-Madera, Jennifer can be contacted via phone (805) 963-2445.

Contact Information

Primary practice address
1200 W Hillcrest Dr Ste. 100 Thousand Oaks CA 91320-2734
Phone: (805) 963-2445
Fax: (805) 965-2292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 457700 California

Profile Details

NPI number 1316951460
LBN Legal business name Mclean-Madera, Jennifer
Credentials NP,PHN,RN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Dec 15th, 2011 - about 15 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 1316951460 NPPES
California MEDICAID 457700

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