Individual
JEANNIE JHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 321-4121
Mailing address
2255 YGNACIO VALLEY RD, STE B1, WALNUT CREEK, CA 94598-3335
(925) 945-7005
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16282
CA
363AS0400X
Surgical Physician Assistant
PA16282
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA16282
STATE LICENSE
CA
Enumeration date
12/08/2006
Last updated
05/08/2017
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