Individual provider · Type 1 NPI

Jennifer Ly

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

NPI number 1689501520 Active

Practice location

2570 48th St
Sacramento, CA 95817-1541

Call (916) 734-2145 Map

Mailing address

274 Nicole Ave
Mountain House, CA 95391-1116

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 1689501520

Jennifer Ly's National Provider Identifier is 1689501520, issued on May 5, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on May 5, 2026.