Individual
JARAD REDDEKOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
1300 ETHAN WAY STE 600, SACRAMENTO, CA 95825-2296
(916) 482-7623
(916) 488-7432
Mailing address
1300 ETHAN WAY STE 600, SACRAMENTO, CA 95825-2296
(916) 482-7623
(916) 488-7432
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0994404
CO
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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