Individual
JENNIFER MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
470 E 3RD ST, LOS ANGELES, CA 90013-1629
(213) 620-5712
(213) 621-4155
Mailing address
470 E 3RD ST, LOS ANGELES, CA 90013-1629
(213) 620-5712
(213) 621-4155
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95032812
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95011407
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/06/2017
Last updated
03/15/2019
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