Healthcare Provider Details

I. General information

NPI: 1417379025
Provider Name (Legal Business Name): JANE RABBITT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2014
Last Update Date: 01/16/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PARNASSUS AVE RM A808
SAN FRANCISCO CA
94143-2202
US

IV. Provider business mailing address

400 PARNASSUS AVE RM A808
SAN FRANCISCO CA
94143-2202
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-2652
  • Fax: 415-353-2166
Mailing address:
  • Phone: 415-353-2652
  • Fax: 415-353-2166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0800X
TaxonomyNeuroscience Registered Nurse
License Number3779334
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: