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NPI Code Detail

MEDICARE: JENNIFER CORBETT PA

MEDICARE:   JENNIFER  CORBETT  PA
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
1363A00000XPhysician AssistantPA20507CA

General Provider Information

NPI Number : 1871447458
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER CORBETT PA
Provider Business Mailing Address
First Line : 21 LOS CERROS PL
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-3106
Country : US
Telephone Number : 925-854-4660
Fax Number :
Provider Business Practice Location Address
First Line : 439 RAILROAD AVE
Second Line :
City : DANVILLE
State : CA
Zip : 94526-3821
Country : US
Telephone Number : 925-854-4660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2026
Last Update Date : 02/23/2026

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Directions to “ JENNIFER CORBETT PA” Practice Location

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