Individual
MS. JENNA WEATHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7130 N MILLBROOK AVE, FRESNO, CA 93720-3347
(559) 326-1222
(559) 326-1225
Mailing address
1510 E HERNDON AVE STE 310, FRESNO, CA 93720-3393
(559) 326-1222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95014538
CA
363LA2200X
Adult Health Nurse Practitioner
RN1037919
DC
Other
Enumeration date
08/25/2015
Last updated
11/05/2025
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