Individual
JENNIFER JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC,NP
Contact information
Practice address
204 E BEACH ST, WATSONVILLE, CA 95076-4809
(831) 728-0222
(831) 707-2777
Mailing address
195 AVIATION WAY, SUITE 200, WATSONVILLE, CA 95076-2053
(831) 728-8250
(831) 707-2777
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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