Individual provider · Type 1 NPI
Jenny Ta Pettersen, FNP
Family Nurse Practitioner · Oakland, CA
NPI number
1780016097
Active
Practice location
818 Webster St
Oakland, CA 94607-4220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 23448 (CA) |
| Registered Nurse | 163W00000X | 757451 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1780016097
Jenny Ta Pettersen, FNP's National Provider Identifier is 1780016097, issued on Aug 8, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oakland, CA. The record was last updated on Apr 9, 2017.