Organization
JENNIFER PACK, NURSE PRACTITIONER, APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN PACK NP (PRESIDENT)
(858) 485-8022
Entity
Organization
Contact information
Practice address
15706 POMERADO RD, SUITE S 206, POWAY, CA 92064-2067
(858) 485-8022
(858) 815-6820
Mailing address
15706 POMERADO RD, SUITE S 206, POWAY, CA 92064-2067
(858) 485-8022
(858) 815-6820
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11906
CA
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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