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Jennifer Yvonne Treadwell, APRN,CPNP
Pediatric Nurse Practitioner in Sacramento, California
NPI 1831533553

Jennifer Yvonne Treadwell is a Pediatric Nurse Practitioner based in Sacramento, CA and is specialized in Pediatrics. Jennifer Yvonne Treadwell practices in Sacramento, CA and has the professional credentials of APRN,CPNP. The NPI Number for Jennifer Yvonne Treadwell is 1831533553 and holds a License No. AP06244 (California).

The current practice location address for Jennifer Yvonne Treadwell is 1625 Stockton Blvd Ste 112, Sacramento, CA and can be reached out via phone at 916-887-4877 and via fax at 916-887-4835.

Location: 1625 Stockton Blvd Ste 112, Sacramento, CA, 95816-7098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831533553
Provider Name
Jennifer Yvonne Treadwell
Credential
APRN,CPNP
Provider Entity Type
Individual
Gender
Female
Address
1625 Stockton Blvd Ste 112, Sacramento, CA, 95816-7098
Phone Number
916-887-4877
Fax Number
916-887-4835
Provider Enumeration Date
04/24/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
292348YH54 01 LA MEDICARE - PTAN
2336037 05 LA
institution
Provider Business Practice Location Address Details
Address
1625 Stockton Blvd Ste 112
City
Sacramento
State
California
Zip
95816-7098
Phone Number
916-887-4877
Fax Number
916-887-4835
person
Provider Business Mailing Address Details
Address
1625 Stockton Blvd Ste 112
City
Sacramento
State
California
Zip
95816-7098
Phone Number
916-887-4877
Fax Number
916-887-4835
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
AP06244 (Louisiana)
Definition
Definition to come...
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