Provider Demographics
NPI:1083642409
Name:CURRIE, JEANNETTE BARBARELLA (MD)
Entity Type:Individual
Prefix:DR
First Name:JEANNETTE
Middle Name:BARBARELLA
Last Name:CURRIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 4TH ST
Mailing Address - Street 2:SUITE 151
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-4057
Mailing Address - Country:US
Mailing Address - Phone:707-545-7795
Mailing Address - Fax:707-545-7723
Practice Address - Street 1:1275 4TH ST
Practice Address - Street 2:SUITE 151
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-4057
Practice Address - Country:US
Practice Address - Phone:707-545-7795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA84041207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH80665Medicare UPIN