Individual
JENNIFER DUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, PHN,RN
Contact information
Practice address
1120 S DORA ST, UKIAH, CA 95482-6340
(707) 472-2600
(707) 472-2714
Mailing address
1120 S DORA ST, UKIAH, CA 95482-6340
(707) 472-2600
(707) 472-2714
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
526517
CA
163WI0600X
Infection Control Registered Nurse
526517
CA
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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