Healthcare Provider Details

I. General information

NPI: 1891090692
Provider Name (Legal Business Name): JENNIFER LEE REMMERS-WRIGHT MPH, RD, MCHES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER EIMERS RD

II. Dates (important events)

Enumeration Date: 01/26/2011
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 MARKHAM PL
SANTA ROSA CA
95401-9112
US

IV. Provider business mailing address

607 DONNA WAY SOBOBA INDIAN HEALTH
SAN JACINTO CA
92583
US

V. Phone/Fax

Practice location:
  • Phone: 909-253-4997
  • Fax:
Mailing address:
  • Phone: 951-654-0803
  • Fax: 951-654-5957

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number01023076
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: