Healthcare Provider Details

I. General information

NPI: 1558880351
Provider Name (Legal Business Name): JONATHAN ROBERT FERO FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2017
Last Update Date: 04/26/2022
Certification Date: 04/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 N WOLFE RD
SUNNYVALE CA
94085-4510
US

IV. Provider business mailing address

280 N WOLFE RD
SUNNYVALE CA
94085-4510
US

V. Phone/Fax

Practice location:
  • Phone: 408-783-4000
  • Fax:
Mailing address:
  • Phone: 408-783-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95007245
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: