Individual
JENNIFER P. FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNPC
Contact information
Practice address
23181 VERDUGO DR STE 103A, LAGUNA HILLS, CA 92653-1313
(949) 366-1053
Mailing address
1241. E. DYER RD, SANTA ANA, CA 92705
(714) 978-4532
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP7343
CA
363L00000X
Nurse Practitioner
RN483580
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
RN483580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN483580
—
CA
Enumeration date
08/05/2006
Last updated
03/14/2022
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