Individual
MRS. JENNIFER BRENT SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITINER
Contact information
Practice address
7720 N FRESNO ST, SUITE 104, FRESNO, CA 93720-2407
(559) 438-1802
(559) 438-1531
Mailing address
7720 N FRESNO ST, SUITE 104, FRESNO, CA 93720-2407
(559) 438-1802
(559) 438-1531
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
20865
CA
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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