Individual provider · Type 1 NPI
Jennifer Phan, FNP
Family Nurse Practitioner · San Diego, CA
NPI number
1609372150
Active
Practice location
1452 Reed Ave
San Diego, CA 92109-5351
Mailing address
4647 Zion Ave
San Diego, CA 92120-2507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95008319 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1609372150
Jennifer Phan, FNP's National Provider Identifier is 1609372150, issued on Apr 3, 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 May 16, 2022.