Individual provider · Type 1 NPI
Jennifer Renzas
Family Nurse Practitioner · San Diego, CA
NPI number
1225512759
Active
Practice location
4060 Fairmount Ave
San Diego, CA 92105-1608
Mailing address
6300 N California Ave
Chicago, IL 60659-1702
Other practice locations
- 6300 N California Ave, Chicago, IL 60659-1702 · (312) 858-0474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209018207 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | NP95016776 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1225512759
Jennifer Renzas's National Provider Identifier is 1225512759, issued on Sep 20, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Sep 13, 2021.