Individual provider · Type 1 NPI
Jennifer Denise Mendoza, FNP
Family Nurse Practitioner · Santa Rosa, CA
NPI number
1154057750
Active
Practice location
751 Lombardi Ct
Santa Rosa, CA 95407-6798
Mailing address
209 E 3rd St Apt 4
Cloverdale, CA 95425-3348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95021956 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1154057750
Jennifer Denise Mendoza, FNP's National Provider Identifier is 1154057750, issued on Jul 26, 2022. 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 26, 2022.