person
Jennifer Ta, CPNP
Pediatric Nurse Practitioner in Lompoc, California
NPI 1790035046

Jennifer Ta is a Pediatric Nurse Practitioner based in Lompoc, CA and is specialized in Pediatrics. Jennifer Ta practices in Lompoc, CA and has the professional credentials of CPNP. The NPI Number for Jennifer Ta is 1790035046 and holds a License No. 19921 (California).

The current practice location address for Jennifer Ta is 338 S Dakota Ave Bldg 13850, Lompoc, CA and can be reached out via phone at 805-606-2273.

Location: 338 S Dakota Ave Bldg 13850, Lompoc, CA, 93437-6307
person
Provider Profile Details
NPI Number
1790035046
Provider Name
Jennifer Ta
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
338 S Dakota Ave Bldg 13850, Lompoc, CA, 93437-6307
Phone Number
805-606-2273
Fax Number
Provider Enumeration Date
09/13/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
338 S Dakota Ave Bldg 13850
City
State
Zip
93437-6307
Phone Number
805-606-2273
Fax Number
person
Provider Business Mailing Address Details
Address
338 S Dakota Ave Bldg 13850
City
State
Zip
93437-6307
Phone Number
805-606-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
19921 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
19921 (California)
Definition
Definition to come...
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