Healthcare Provider Details

I. General information

NPI: 1508169491
Provider Name (Legal Business Name): JENNIFER MAY STRIDER N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JENNIFER MAY WEIDNER ND

II. Dates (important events)

Enumeration Date: 12/15/2010
Last Update Date: 01/04/2022
Certification Date: 01/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23548 LYONS AVE STE B
NEWHALL CA
91321-5782
US

IV. Provider business mailing address

23548 LYONS AVE STE B
NEWHALL CA
91321-5782
US

V. Phone/Fax

Practice location:
  • Phone: 661-414-2350
  • Fax: 661-513-4991
Mailing address:
  • Phone: 661-414-2350
  • Fax: 661-513-4991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1814
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-431
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: