Individual provider · Type 1 NPI
Jenna Pettus, NP
Family Nurse Practitioner · Sacramento, CA
NPI number
1376033746
Active
Practice location
711 14th St, Apt 11
Sacramento, CA 95814
Mailing address
711 14th St Apt 11
Sacramento, CA 95814-1922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95009041 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1376033746
Jenna Pettus, NP's National Provider Identifier is 1376033746, issued on May 11, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sacramento, CA. The record was last updated on May 11, 2018.