Rose M Jernigan NP

NPI 1699842427 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1699842427
Gender Female
Enumeration Date 11/29/2006
Last Updated 11/30/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
9961 SIERRA AVE
FONTANA CA, 92335-6720, US
Phone (909) 427-3910
Fax
Business Location
393 E WALNUT ST
3RD FLOOR PHR SYSTEMS
PASADENA CA, 91188-0001, US
Phone (000) 000-0000
Fax (000) 000-0000
Toxanomy
Taxonomy Code 363L00000X
License State California
License Number RN255750
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According to our database, Rose M Jernigan NP NPI is 1699842427, taxonomy code is 363L00000X and license number is RN255750, license state is located at California. Rose M Jernigan NP physically located at 9961 Sierra Ave, Fontana CA, 92335-6720. NPI Number Rose M Jernigan NP has the Individual type.

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1699842427 NPI number is provided on an as is basis without warranty of any kind. 1699842427 is maintained by the National Plan & Provider Enumeration System. The contents of Rose M Jernigan NP are for informational purposes only.