Individual
JENNIFER LEE ELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
150 MUIR RD, MARTINEZ, CA 94553-4668
(925) 372-2012
Mailing address
1903 BUENA TIERRA ST, BENICIA, CA 94510-2304
(707) 297-1297
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
577905
CA
163WG0000X
General Practice Registered Nurse
577905
CA
163WM0705X
Medical-Surgical Registered Nurse
577905
CA
163WX0200X
Oncology Registered Nurse
577905
CA
291U00000X
Clinical Medical Laboratory
Primary
577905
CA
Other
Enumeration date
03/06/2007
Last updated
09/11/2025
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