Individual
JENNIFER ECHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, RN
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 473-7452
(415) 473-4113
Mailing address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 473-7452
(415) 473-4113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
821191
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
22302
CA
Other
Enumeration date
09/22/2011
Last updated
07/22/2013
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