Healthcare Provider Details

I. General information

NPI: 1437984945
Provider Name (Legal Business Name): JENNIFER SCHWARTZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

442 S EAGLES PT
ORANGE CA
92869-4331
US

IV. Provider business mailing address

442 S EAGLES PT
ORANGE CA
92869-4331
US

V. Phone/Fax

Practice location:
  • Phone: 714-504-9707
  • Fax:
Mailing address:
  • Phone: 714-504-9707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number424208
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: