Individual
JENNIFER GREENWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 BON AIR RD STE 100, LARKSPUR, CA 94939-1144
(415) 927-0666
(888) 401-2619
Mailing address
2 BON AIR RD STE 100, LARKSPUR, CA 94939-1144
(415) 927-0666
(888) 401-2619
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95011335
CA
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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