Individual provider · Type 1 NPI

Jennifer Bohannan

Surgical Physician Assistant · Burlingame, CA

NPI number 1912417676 Active

Practice location

1501 Trousdale Dr
Burlingame, CA 94010-4506

Call (650) 696-5400 Map

Mailing address

PO Box 276950
Sacramento, CA 95827-6950

Other practice locations

  • 600 N Wolfe St, Baltimore, MD 21287-0005 · (410) 502-2651

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA68227 (CA)

Surgical Physician Assistant: Definition to come...

254 other providers at this address

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About NPI 1912417676

Jennifer Bohannan's National Provider Identifier is 1912417676, issued on Oct 9, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Burlingame, CA. The record was last updated on Jul 14, 2026.