Individual provider · Type 1 NPI

Jennifer Lynne Detisch, NP

Family Nurse Practitioner · Vista, CA

NPI number 1730215534 Active

Practice location

1000 Vale Terrace Dr
Vista, CA 92084-5218

Fax (760) 414-3713

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X16773 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1730215534

Jennifer Lynne Detisch, NP's National Provider Identifier is 1730215534, issued on Feb 26, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Vista, CA. The record was last updated on Nov 30, 2021.