MEDICARE: MISS JENNETTE LYNN STANCY RN

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
1	163W00000X	Registered Nurse	594848	CA

General Provider Information

NPI Number	:	1508066622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JENNETTE LYNN STANCY RN

Provider Business Mailing Address
First Line	:	1250 HARBOR BLVD
Second Line	:	STE 600
City	:	WEST SACRAMENTO
State	:	CA
Zip	:	95691-3453
Country	:	US
Telephone Number	:	916-501-8488
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 HARBOR BLVD
Second Line	:	STE 600
City	:	WEST SACRAMENTO
State	:	CA
Zip	:	95691-3453
Country	:	US
Telephone Number	:	916-501-8488
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2007
Last Update Date	:	07/18/2007

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1851400089 — MS. BARBARA GAYE BROWN LCSW
Practice Location Address:

1250 HARBOR BLVD , SUITE 600
WEST SACRAMENTO, CA
95691-3453

Practice Phone: 916-376-8591
Practice Fax:

1255531208 — KRISTINA MARIE SIMMONS
Practice Location Address:

1250 HARBOR BLVD , SUITE 600
WEST SACRAMENTO, CA
95691-3453

Practice Phone: 916-376-8591
Practice Fax: 916-376-8595

1700062163 — HEATHER LYNN ROBERTS
Practice Location Address:

1250 HARBOR BLVD , SUITE 600
WEST SACRAMENTO, CA
95691-3453

Practice Phone: 916-376-8591
Practice Fax: 916-376-8596

1265677645 — MS. JODI LYNN RAPER LVN
Practice Location Address:

1250 HARBOR BLVD , SUITE 600
WEST SACRAMENTO, CA
95691-3453

Practice Phone: 916-376-8591
Practice Fax: 916-375-8595

1699701748 — BRANIK MEDICAL SUPPLY
Practice Location Address:

3453 RAMONA AVE , SUITE 11
SACRAMENTO, CA
95826-3828

Practice Phone: 916-737-0300
Practice Fax: 916-737-1923

Directions to “ MISS JENNETTE LYNN STANCY RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.