Individual provider · Type 1 NPI

Jenna Lauren Tibbitts

Family Nurse Practitioner · San Diego, CA

NPI number 1912711375 Active

Practice location

3327 Rosecrans St
San Diego, CA 92110-4223

Mailing address

945 Opal St
San Diego, CA 92109-1773

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP95032799 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1912711375

Jenna Lauren Tibbitts's National Provider Identifier is 1912711375, issued on Feb 5, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Diego, CA. The record was last updated on Feb 5, 2025.