MEDICARE: JENNIFER LYNNE TOOMEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	95024232	CA

General Provider Information

NPI Number	:	1487347597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LYNNE TOOMEY

Provider Business Mailing Address
First Line	:	220 MESCALITA CT
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92058-7953
Country	:	US
Telephone Number	:	760-622-3626
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 MESCALITA CT
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92058-7953
Country	:	US
Telephone Number	:	760-622-3626
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2023
Last Update Date	:	06/02/2023

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