Provider Demographics
NPI:1780687459
Name:SEHMSDORF, JENNIFER (RN, FNP, CNM)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:SEHMSDORF
Suffix:
Gender:F
Credentials:RN, FNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 W CYPRESS AVE
Mailing Address - Street 2:
Mailing Address - City:REEDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93654-2096
Mailing Address - Country:US
Mailing Address - Phone:559-637-2455
Mailing Address - Fax:
Practice Address - Street 1:550 W CYPRESS AVE
Practice Address - Street 2:
Practice Address - City:REEDLEY
Practice Address - State:CA
Practice Address - Zip Code:93654-2096
Practice Address - Country:US
Practice Address - Phone:559-637-2455
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANMW1391367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0085541Medicaid
CAGR0085540Medicaid