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NPI Code Detail

MEDICARE: JENNIFER ASHLEY GONZALEZ ARNP

MEDICARE: JENNIFER ASHLEY GONZALEZ ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerARNP9338052FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11437693926OTHERNPI

General Provider Information

NPI Number : 1437693926
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ASHLEY GONZALEZ ARNP
Provider Business Mailing Address
First Line : 242 E 6TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90014-2117
Country : US
Telephone Number : 130-572-0126
Fax Number :
Provider Business Practice Location Address
First Line : 242 E 6TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90014-2117
Country : US
Telephone Number : 213-833-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2016
Last Update Date : 04/20/2022

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