Provider Demographics
NPI:1235153123
Name:KANENAGA, JENNIFER REI (RN, MSN, FNP)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:REI
Last Name:KANENAGA
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Gender:F
Credentials:RN, MSN, FNP
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Mailing Address - Street 1:995 POTRERO AVE
Mailing Address - Street 2:FAMILY HEALTH CENTER, WARD 83
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2859
Mailing Address - Country:US
Mailing Address - Phone:415-206-8610
Mailing Address - Fax:415-206-8387
Practice Address - Street 1:995 POTRERO AVE
Practice Address - Street 2:FAMILY HEALTH CENTER, WARD 83
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2859
Practice Address - Country:US
Practice Address - Phone:415-206-8610
Practice Address - Fax:415-206-8387
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2011-12-21
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Provider Licenses
StateLicense IDTaxonomies
CA557998363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily