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Jennifer Lynne Detisch, NP
Family Nurse Practitioner in Vista, California
NPI 1730215534

Jennifer Lynne Detisch is a Family Nurse Practitioner based in Vista, CA and is specialized in Family. Jennifer Lynne Detisch practices in Vista, CA and has the professional credentials of NP. The NPI Number for Jennifer Lynne Detisch is 1730215534 and holds a License No. 16773 (California).

The current practice location address for Jennifer Lynne Detisch is 1000 Vale Terrace Dr, Vista, CA and can be reached out via phone at 760-631-5000 and via fax at 760-414-3713.

Location: 1000 Vale Terrace Dr, Vista, CA, 92084-5218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730215534
Provider Name
Jennifer Lynne Detisch
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1000 Vale Terrace Dr, Vista, CA, 92084-5218
Phone Number
760-631-5000
Fax Number
760-414-3713
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1000 Vale Terrace Dr
City
Vista
State
California
Zip
92084-5218
Phone Number
760-631-5000
Fax Number
760-414-3713
person
Provider Business Mailing Address Details
Address
1000 Vale Terrace Dr
City
Vista
State
California
Zip
92084-5218
Phone Number
760-631-5000
Fax Number
760-414-3713
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
16773 (California)
Definition
Definition to come...
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