Individual
JENNIFER BETH NEWCOMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4440 BROCKTON AVE, RIVERSIDE, CA 92501-4068
(951) 684-8020
Mailing address
7688 BELPINE PL, RANCHO CUCAMONGA, CA 91730-6716
(909) 944-8396
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
15400
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15400
NP FURNISHING
CA
01
—
559583
RN LICENSE
CA
Enumeration date
10/27/2006
Last updated
07/08/2007
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