Healthcare Provider Details

I. General information

NPI: 1700510229
Provider Name (Legal Business Name): JENNIE MARIE NAJERA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2022
Last Update Date: 07/11/2022
Certification Date: 07/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 COFFEE RD
BAKERSFIELD CA
93309-1258
US

IV. Provider business mailing address

4040 CALIFORNIA AVE
BAKERSFIELD CA
93309-1012
US

V. Phone/Fax

Practice location:
  • Phone: 661-885-6060
  • Fax:
Mailing address:
  • Phone: 661-336-2050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF05220359
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: