Individual
JENIFER L CARPENTER BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
6245 DE LONGPRE AVE FL 2, LOS ANGELES, CA 90028-8253
(661) 888-0195
Mailing address
6245 DE LONGPRE AVE FL 2, LOS ANGELES, CA 90028-8253
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95027675
CA
Other
Enumeration date
12/11/2023
Last updated
02/28/2024
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