Provider Demographics
NPI:1639353105
Name:KENNY, PATRICIA ANN JONES (RN, CNS, NP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANN JONES
Last Name:KENNY
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Gender:F
Credentials:RN, CNS, NP
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Mailing Address - Street 1:2500 GRANT RD
Mailing Address - Street 2:ECH 133
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4302
Mailing Address - Country:US
Mailing Address - Phone:650-940-7138
Mailing Address - Fax:650-988-7833
Practice Address - Street 1:2500 GRANT RD
Practice Address - Street 2:ECH 133
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4302
Practice Address - Country:US
Practice Address - Phone:650-940-7138
Practice Address - Fax:650-988-7833
Is Sole Proprietor?:No
Enumeration Date:2007-12-20
Last Update Date:2022-01-03
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Provider Licenses
StateLicense IDTaxonomies
CA309309163W00000X
CA768364SG0600X
CA17388363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse
No364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology