Individual
JENNIFER MCLEAN-MADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP,PHN,RN
Contact information
Practice address
1200 W HILLCREST DR, STE. 100, THOUSAND OAKS, CA 91320-2734
(805) 963-2445
(805) 965-2292
Mailing address
518 GARDEN ST, SANTA BARBARA, CA 93101-1606
(805) 963-2445
(805) 965-6052
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
457700
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
457700
—
CA
Enumeration date
07/27/2006
Last updated
12/15/2011
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