Pettibone, Jennifer Ruth

Pettibone, Jennifer Ruth is an individual health care provider with primary practice located at 2101 Courage Dr Ms-10-200, Fairfield CA 94533-6717. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Pettibone, Jennifer Ruth can be contacted via phone (707) 784-2154.

Contact Information

Primary practice address
2101 Courage Dr Ms-10-200 Fairfield CA 94533-6717
Phone: (707) 784-2154
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 464317 California

Profile Details

NPI number 1003004474
LBN Legal business name Pettibone, Jennifer Ruth
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2007
Last updated Oct 10th, 2007 - about 17 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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