Individual provider · Type 1 NPI
Jessica L. Theno, CRNP
Critical Care Pediatric Nurse Practitioner · Sacramento, CA
NPI number
1750716007
Active
Practice location
2315 Stockton Blvd
Sacramento, CA 95817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner Primary | 363LP0222X | 95007126 (CA) |
Critical Care Pediatric Nurse Practitioner: Definition to come...
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About NPI 1750716007
Jessica L. Theno, CRNP's National Provider Identifier is 1750716007, issued on Sep 5, 2013. The primary taxonomy on file is Critical Care Pediatric Nurse Practitioner (363LP0222X), and the practice location is in Sacramento, CA. The record was last updated on May 29, 2018.