MRS. JENNIFER CRUZ ALICBUSAN FNP NPI 1619435815

NPI Information

NPI: 1619435815
Provider Name: MRS. JENNIFER CRUZ ALICBUSAN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: PROVIDENCE MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
1100 TRANCAS ST STE 205
NAPA, CA
ZIP 94558
Phone: (707) 251-3604
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MRS. Jennifer Cruz Alicbusan, FNP is a family nurse practitioner in Napa, CA with 6 years of experience. MRS. Jennifer Cruz Alicbusan, FNP NPI is 1619435815. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1100 TRANCAS ST STE 205
NAPA, CA
ZIP 94558-904
Phone: (707) 251-3604

The NPI 1619435815 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/6/2019 and was last updated on 10/14/2021.

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	363L00000X	Nurse Practitioner		95011187	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	95011187	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: 11/14/2023

NPI Synchronization or Removal

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