Provider Demographics
NPI:1508169491
Name:STRIDER, JENNIFER MAY (ND)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MAY
Last Name:STRIDER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:MAY
Other - Last Name:WEIDNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:23548 LYONS AVE STE B
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-5782
Mailing Address - Country:US
Mailing Address - Phone:661-414-2350
Mailing Address - Fax:661-513-4991
Practice Address - Street 1:23548 LYONS AVE STE B
Practice Address - Street 2:
Practice Address - City:NEWHALL
Practice Address - State:CA
Practice Address - Zip Code:91321-5782
Practice Address - Country:US
Practice Address - Phone:661-414-2350
Practice Address - Fax:661-513-4991
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-15
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1814175F00000X
CAND-431175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath