MRS. JENNIFER JANE BACKER MSN FNP NPI 1265576755

NPI Information

NPI: 1265576755
Provider Name: MRS. JENNIFER JANE BACKER, MSN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2525 GRAND AVE
ROOM 106
LONG BEACH, CA
ZIP 90815
Phone: (562) 570-4056
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MRS. Jennifer Jane Backer, MSN, FNP is a family nurse practitioner in Long Beach, CA. MRS. Jennifer Jane Backer, MSN, FNP NPI is 1265576755. 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:

2525 GRAND AVE
ROOM 106
LONG BEACH, CA
ZIP 90815-765
Phone: (562) 570-4056
Fax: (562) 570-4039

The NPI 1265576755 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 2/16/2007 and was last updated on 8/20/2015.

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	363LF0000X	Nurse Practitioner	Family	480709	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

NPI Synchronization or Removal

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