Individual
JAYNE MARY INMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2853 HOWE CT, FAIRFIELD, CA 94534-3030
(707) 373-0684
Mailing address
2853 HOWE CT, FAIRFIELD, CA 94534-3030
(707) 373-0684
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95008733
CA
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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