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Jenine Titus
Family Nurse Practitioner in Ontario, California
NPI 1043688161

Jenine Titus is a Family Nurse Practitioner based in Riverside, CA and is specialized in Family. Jenine Titus practices in Ontario, CA. The NPI Number for Jenine Titus is 1043688161 and holds a License No. NP95002533 (California).

The current practice location address for Jenine Titus is 3401 Centre Lake Dr Ste 512, Ontario, CA and can be reached out via phone at 909-566-0445.

Location: 3401 Centre Lake Dr Ste 512, Ontario, CA, 92501-4027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043688161
Provider Name
Jenine Titus
Credential
Provider Entity Type
Individual
Gender
Female
Address
3401 Centre Lake Dr Ste 512, Ontario, CA, 92501-4027
Phone Number
909-566-0445
Fax Number
Provider Enumeration Date
09/04/2015
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
3401 Centre Lake Dr Ste 512
City
Ontario
State
California
Zip
91761-1201
Phone Number
909-566-0445
Fax Number
person
Provider Business Mailing Address Details
Address
3401 Centre Lake Dr Ste 512
City
Ontario
State
California
Zip
91761-1201
Phone Number
909-566-0445
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
95002533 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP95002533 (California)
Definition
Definition to come...
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