Provider Demographics
NPI:1508932542
Name:HITTINGER, JENNIFER LOUISE FURST (CNM)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:LOUISE FURST
Last Name:HITTINGER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:LOUISE
Other - Last Name:FURST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1691 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2203
Mailing Address - Country:US
Mailing Address - Phone:408-287-7532
Mailing Address - Fax:408-287-0405
Practice Address - Street 1:1441 N TRACY BLVD
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-3445
Practice Address - Country:US
Practice Address - Phone:209-835-8910
Practice Address - Fax:209-835-8534
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACNM 1501367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife