Individual provider · Type 1 NPI

Mose Alphonso Jennings, PA

Surgical Physician Assistant · San Francisco, CA

NPI number 1427112317 Active

Practice location

2425 Geary Blvd
San Francisco, CA 94115-3358

Mailing address

91 Seagull Dr
Richmond, CA 94804-7408

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA 12212 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1427112317

Mose Alphonso Jennings, PA's National Provider Identifier is 1427112317, issued on Dec 21, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Francisco, CA. The record was last updated on Jul 8, 2007.