Provider Demographics
NPI:1245245166
Name:TEMPLEMAN, JEANNE MARIA (RN, CNS, LCSW)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:MARIA
Last Name:TEMPLEMAN
Suffix:
Gender:F
Credentials:RN, CNS, LCSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2725 CHESTNUT HILL DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-2914
Mailing Address - Country:US
Mailing Address - Phone:916-538-6454
Mailing Address - Fax:916-381-5111
Practice Address - Street 1:2725 CHESTNUT HILL DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95826-2914
Practice Address - Country:US
Practice Address - Phone:916-538-6454
Practice Address - Fax:916-381-5111
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-29
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA332543163WP0809X
CA208364SP0809X
CA159521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical