Individual
JENNIFER A DORNBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2395 LOMBARD ST, SAN FRANCISCO, CA 94123-2601
(415) 796-2242
(415) 796-3841
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95017501
CA
363LF0000X
Family Nurse Practitioner
A141009
IA
363LF0000X
Family Nurse Practitioner
F342964
NY
Other
Enumeration date
07/29/2015
Last updated
10/14/2021
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