Healthcare Provider Details

I. General information

NPI: 1861581878
Provider Name (Legal Business Name): JENNIFER KATHRYN ESPARZA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

559 E VAN BIBBER AVE
ORANGE CA
92866-2027
US

IV. Provider business mailing address

559 E VAN BIBBER AVE
ORANGE CA
92866-2027
US

V. Phone/Fax

Practice location:
  • Phone: 714-633-8984
  • Fax:
Mailing address:
  • Phone: 714-633-8984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number334479
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: