Provider Demographics
NPI:1013395607
Name:DU, JENNY NGA T (DO, MPH)
Entity Type:Individual
Prefix:
First Name:JENNY NGA
Middle Name:T
Last Name:DU
Suffix:
Gender:F
Credentials:DO, MPH
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Other - Credentials:
Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3000 Q ST FL 1
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7058
Practice Address - Country:US
Practice Address - Phone:916-733-3377
Practice Address - Fax:916-733-5380
Is Sole Proprietor?:No
Enumeration Date:2015-05-14
Last Update Date:2023-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A15172207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine