Provider Demographics
NPI:1558735431
Name:RUMSEY, JENNIFER (APRN, FNP-BC, DNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:RUMSEY
Suffix:
Gender:F
Credentials:APRN, FNP-BC, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 MOONRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-3532
Mailing Address - Country:US
Mailing Address - Phone:588-808-6408
Mailing Address - Fax:
Practice Address - Street 1:2850 MOONRIDGE DR
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-3532
Practice Address - Country:US
Practice Address - Phone:858-880-8640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-16
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95003402364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health