Individual
JENNIFER GABRIELLE BRONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
18350 ROSCOE BLVD, 213, NORTHRIDGE, CA 91325-4109
(818) 718-1600
Mailing address
29826 CAMBRIDGE AVE, CASTAIC, CA 91384-4535
(818) 317-4922
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
21312
CA
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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