Individual provider · Type 1 NPI

Stephanie D. Jenniches, NP

Nurse Practitioner · Upland, CA

NPI number 1114940988 Active

Practice location

999 San Bernardino Rd
Upland, CA 91786-4920

Fax (818) 587-2493

Mailing address

PO Box 4419
Woodland Hills, CA 91365-4419

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP9412 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1114940988

Stephanie D. Jenniches, NP's National Provider Identifier is 1114940988, issued on Jul 25, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Upland, CA. The record was last updated on Jul 8, 2007.