Healthcare Provider Details

I. General information

NPI: 1891610655
Provider Name (Legal Business Name): JENNIFER LESLIE APPS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 EUREKA RD
ROSEVILLE CA
95661-3027
US

IV. Provider business mailing address

5757 GELSTON WAY
EL DORADO HILLS CA
95762-5208
US

V. Phone/Fax

Practice location:
  • Phone: 800-464-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number585420
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: