Individual provider · Type 1 NPI
Jennifer Lynne Eid Ammons, FNP
Family Nurse Practitioner · Santa Rosa, CA
NPI number
1104909175
Active
Practice location
751 Lombardi Ct, Suite A
Santa Rosa, CA 95407-6793
Fax (707) 524-2473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 9170 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104909175
Jennifer Lynne Eid Ammons, FNP's National Provider Identifier is 1104909175, issued on Oct 23, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 8, 2007.