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JENNIFER NICOLE HERMAN FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1760997308

Individual Registrant:
 JENNIFER NICOLE HERMAN FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
PO BOX 226  GUERNEVILLE, CA 95446-0226 US
Tel: 707-869-2849  Fax: --

Contact information for business:
7223 WILLOW ST  SEBASTOPOL, CA 95472-4307 US
Tel: 707-791-6537  Fax: --

Registration Information:
NPI: 1760997308
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA95006924

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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