Individual
MISS JEANNIE MICHELLE UMANZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, PMHNP-BC
Contact information
Practice address
6551 VAN NUYS BLVD STE 201, VAN NUYS, CA 91401-1490
(818) 765-8656
Mailing address
22215 OXFORD LN, SANTA CLARITA, CA 91350-3036
(661) 247-9568
(213) 799-6959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95007178
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95007178
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95007178
NURSE PRACTITONER
CA
01
—
95038181
RN LICENSE
CA
Enumeration date
06/09/2017
Last updated
05/16/2026
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