Healthcare Provider Details

I. General information

NPI: 1053757922
Provider Name (Legal Business Name): JENNIFER LYN GRAFF FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS JENNIFER LYN TORRONE

II. Dates (important events)

Enumeration Date: 05/17/2013
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 HOEN AVE
SANTA ROSA CA
95405-9407
US

IV. Provider business mailing address

601 VAN NESS AVE STE E3619
SAN FRANCISCO CA
94102-3200
US

V. Phone/Fax

Practice location:
  • Phone: 707-546-0471
  • Fax:
Mailing address:
  • Phone: 415-531-9047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number22762
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: