Individual provider · Type 1 NPI

Jennifer Lynn Xepoleas, ASW

Student in an Organized Health Care Education/Training Program · Represa, CA

NPI number 1467111435 Active

Practice location

100 Prison Rd
Represa, CA 95671-3000

Mailing address

PO Box 7091
Folsom, CA 95763-7091

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1467111435

Jennifer Lynn Xepoleas, ASW's National Provider Identifier is 1467111435, issued on Dec 16, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Represa, CA. The record was last updated on Dec 16, 2021.