Individual
JENNIFER POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 PEACH ST STE B, SAN LUIS OBISPO, CA 93401
(805) 543-4043
(805) 543-7640
Mailing address
1250 PEACH ST STE B, SAN LUIS OBISPO, CA 93401-2869
(805) 543-4043
(805) 543-7640
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95012566
CA
Other
Enumeration date
10/29/2019
Last updated
07/22/2024
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