Provider Demographics
NPI:1255320776
Name:HOMER, JEANNE (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:
Last Name:HOMER
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CORAL TREE LN
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-2204
Mailing Address - Country:US
Mailing Address - Phone:949-786-0437
Mailing Address - Fax:949-786-2220
Practice Address - Street 1:ONE HOAG DR, BLDG 41
Practice Address - Street 2:HOAG CANCER CENTER
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92658-6100
Practice Address - Country:US
Practice Address - Phone:949-764-5764
Practice Address - Fax:949-764-8102
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS