Individual
JESSICA FENNEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4005 MISSION OAKS BLVD STE A, CAMARILLO, CA 93012-5156
(805) 484-7921
(816) 478-7140
Mailing address
4005 MISSION OAKS BLVD STE A, CAMARILLO, CA 93012-5156
(805) 484-7921
(816) 478-7140
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95007322
CA
Other
Enumeration date
07/26/2010
Last updated
01/17/2025
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