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JENNIFER NICOLE HERMAN FNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1760997308
Individual Registrant: JENNIFER NICOLE HERMAN FNP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
PO BOX 226 GUERNEVILLE, CA 95446-0226 US
Tel: 707-869-2849 Fax: --
Tel: 707-869-2849 Fax: --
Contact information for business:
7223 WILLOW ST SEBASTOPOL, CA 95472-4307 US
Tel: 707-791-6537 Fax: --
Tel: 707-791-6537 Fax: --
Registration Information:
NPI: 1760997308
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | CA | 95006924 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
