Provider Demographics
NPI:1821153420
Name:GUENTHER, JEANELL GRAVES (FNP)
Entity Type:Individual
Prefix:
First Name:JEANELL
Middle Name:GRAVES
Last Name:GUENTHER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8400 SUN HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-4901
Mailing Address - Country:US
Mailing Address - Phone:661-587-1524
Mailing Address - Fax:
Practice Address - Street 1:8400 SUN HARBOR DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-4901
Practice Address - Country:US
Practice Address - Phone:661-587-1524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17052363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily