Individual provider · Type 1 NPI

Jenny Phan

Family Nurse Practitioner · Oakland, CA

NPI number 1871013383 Active

Practice location

510 17th St
Oakland, CA 94612

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95008848 (CA)
Registered Nurse 163W00000X95129331 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1871013383

Jenny Phan's National Provider Identifier is 1871013383, issued on Jun 26, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oakland, CA. The record was last updated on Oct 15, 2025.