Individual
JENNIFER A FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
SANDIEGO COUNTY PYSCHIATRIC HOSPITAL, 3853 ROSECRANS STREET SANDIEGO CA, SANDIEGO, CA 92110-3115
(619) 692-8232
Mailing address
5561 STREAMVIEW DR, SAN DIEGO, CA 92105-3822
(858) 688-4450
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
164X00000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163WPO809X
NURSING SERVICE PROVIDERS
—
Enumeration date
04/02/2021
Last updated
04/02/2021
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