Individual provider · Type 1 NPI

Jennifer Louise Lallo, MSN, NP

Nurse Practitioner · Clovis, CA

NPI number 1780026294 Active

Practice location

785 Medical Center Drive West, 203
Clovis, CA 93611-1324

Fax (559) 387-1950

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X797429 (CA)
Family Nurse Practitioner 363LF0000X23124 (CA)
Nurse Practitioner Primary 363L00000X23124 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1780026294

Jennifer Louise Lallo, MSN, NP's National Provider Identifier is 1780026294, issued on Jul 25, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clovis, CA. The record was last updated on Feb 2, 2021.