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Individual

JENNIFER JEWELL

Active
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Individual

JENNIFER JEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNC,NP

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
405554
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
405554
CAL LICENSE NUMBER
CA
05
GR0070940
CA
01
NPF4763
FURNISHING LIC NUMBER
CA
Enumeration date
06/11/2007
Last updated
05/06/2016
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