Healthcare Provider Details

I. General information

NPI: 1285541375
Provider Name (Legal Business Name): JENNICE VANDHNA SINGH MSN, APRN, AGCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 BRUCEVILLE RD
SACRAMENTO CA
95823-4671
US

IV. Provider business mailing address

4003 TEVERE PL
EL DORADO HILLS CA
95762-4183
US

V. Phone/Fax

Practice location:
  • Phone: 916-261-9711
  • Fax:
Mailing address:
  • Phone: 916-213-1036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License Number821517
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: