Individual
JENNIFER THERESA DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP.
Contact information
Practice address
11333 SEPULVEDA BLVD, MISSION HILLS, CA 91345-1116
(818) 365-9531
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5691
(818) 792-4793
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN423691/NP7437
CA
Other
Enumeration date
06/26/2006
Last updated
04/03/2014
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