Healthcare Provider Details

I. General information

NPI: 1881525830
Provider Name (Legal Business Name): CHARANPREET KAUR FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2258 MESA AVE
CLOVIS CA
93611-5498
US

IV. Provider business mailing address

2258 MESA AVE
CLOVIS CA
93611-5498
US

V. Phone/Fax

Practice location:
  • Phone: 559-258-4290
  • Fax:
Mailing address:
  • Phone: 559-258-4290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95037482
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: