JENNIFER PACK NURSE PRACTITIONER APC NPI 1043533870

NPI Information

  • NPI: 1043533870
  • Provider Name: JENNIFER PACK, NURSE PRACTITIONER, APC
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Organization
  • Address: 15706 POMERADO RD
    SUITE S 206
    POWAY, CA
    ZIP 92064
  • Phone: (858) 485-8022

Map and Directions

Get Directions

NPI Details

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
1363LA2100XNurse PractitionerAcute Care11906CALIFORNIAYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.