Individual
JENNERFER ANDREA TISCARENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1441 CONSTITUTION BLVD, FLOOR ONE, SUITE 103, SALINAS, CA 93906-3100
(831) 755-4123
(831) 755-4122
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(831) 796-1386
(831) 796-1388
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
23334
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/16/2013
Last updated
10/09/2017
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