Provider Demographics
NPI:1326289463
Name:KERNEY, JENNIFER MONROE (MSN, CRNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MONROE
Last Name:KERNEY
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 PARNASSUS AVE
Mailing Address - Street 2:SUITE 805
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-3608
Mailing Address - Country:US
Mailing Address - Phone:415-353-1888
Mailing Address - Fax:415-353-8917
Practice Address - Street 1:350 PARNASSUS AVE
Practice Address - Street 2:SUITE 805
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-3608
Practice Address - Country:US
Practice Address - Phone:415-353-1888
Practice Address - Fax:415-353-8917
Is Sole Proprietor?:No
Enumeration Date:2009-03-19
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR166436363LA2100X
CANP95000774363LA2100X
CA95034192363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care