JENNIFER PACK NURSE PRACTITIONER APC NPI 1043533870

NPI Information

NPI: 1043533870
Provider Name: JENNIFER PACK, NURSE PRACTITIONER, APC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Organization

Specialization: Acute Care

Address:
15706 POMERADO RD
SUITE S 206
POWAY, CA
ZIP 92064
Phone: (858) 485-8022
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JENNIFER PACK, NURSE PRACTITIONER, APC is an acute care nurse practitioner in Poway, CA. JENNIFER PACK, NURSE PRACTITIONER, APC NPI is 1043533870. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15706 POMERADO RD
SUITE S 206
POWAY, CA
ZIP 92064-067
Phone: (858) 485-8022
Fax: (858) 815-6820

The provider's authorized official is Jennifer Lynn Pack .
The authorized official title is President and has the following contact phone number (858) 485-8022.

The enumeration date for this NPI number is 3/8/2010 and was last updated on 3/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	11906	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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