Provider Demographics
NPI:1538675442
Name:HUNT, JEANNE DARLENE (NP)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:DARLENE
Last Name:HUNT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8228 COVINA LN
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95828-4507
Mailing Address - Country:US
Mailing Address - Phone:916-517-9170
Mailing Address - Fax:916-681-9543
Practice Address - Street 1:8228 COVINA LN
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95828-4507
Practice Address - Country:US
Practice Address - Phone:916-517-9170
Practice Address - Fax:916-681-9543
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-15
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA235769163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1446OtherBOARD OF REGISTERED NURSING