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Individual

MS. JENNIFER MICHELE HUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, CPNP, CNS

Contact information

Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-2584
Mailing address
4638 CANYON PARK LN, LA VERNE, CA 91750-1864
(909) 592-5519

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
546355
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
15382
CA
364SP0200X
Pediatric Clinical Nurse Specialist
2180
CA

Other

Enumeration date
11/29/2011
Last updated
11/29/2011
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