Individual
JENNIFER M WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95013759
CA
363LA2100X
Acute Care Nurse Practitioner
95013759
CA
363LG0600X
Gerontology Nurse Practitioner
95013759
CA
Other
Enumeration date
02/17/2020
Last updated
06/09/2021
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