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General NPI Number Information
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NPI Number | 1700549177
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Entity Type | Individual
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Provider Name | JEANETTE LENAY NUNES PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/21/2021
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 390 40TH ST
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City | OAKLAND
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State | CA
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Zip | 94609-2633
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Country | US
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Telephone | 510-613-0330
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Fax |
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Provider Business Mailing Address
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Address Line | 9381 E STOCKTON BLVD STE 220
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City | ELK GROVE
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State | CA
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Zip | 95624-5070
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Country | US
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Telephone | 916-351-9400
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95015324
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2022008170
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95015324
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License Number State | CA
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