Individual provider · Type 1 NPI
Jenna Fordis
Child & Adolescent Psychiatric/Mental Health Registered Nurse · Oxnard, CA
NPI number
1306389507
Active
Practice location
2130 N Ventura Rd
Oxnard, CA 93036-2258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95065998 (CA) |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | 95065998 (CA) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1306389507
Jenna Fordis's National Provider Identifier is 1306389507, issued on Nov 21, 2016. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Oxnard, CA. The record was last updated on Nov 21, 2016.