Individual
JENNIFER ALYSSA MACLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95009392
CA
363LP0200X
Pediatric Nurse Practitioner
18499
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2560
—
SC
Enumeration date
09/24/2013
Last updated
08/07/2024
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