Provider Demographics
NPI:1295862142
Name:SERAFIN, JENNIFER EMILY (MSN, GNP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:EMILY
Last Name:SERAFIN
Suffix:
Gender:F
Credentials:MSN, GNP
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:EMILY
Other - Last Name:HILKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MSN
Mailing Address - Street 1:302 SILVER AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-1510
Mailing Address - Country:US
Mailing Address - Phone:415-469-2386
Mailing Address - Fax:415-334-3091
Practice Address - Street 1:302 SILVER AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94112-1510
Practice Address - Country:US
Practice Address - Phone:415-469-2386
Practice Address - Fax:415-334-3091
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA534424363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP75438Medicare UPIN