Provider Demographics
NPI:1831302843
Name:UNDERHILL, JAYNETTE MONIQUE (MA)
Entity Type:Individual
Prefix:MISS
First Name:JAYNETTE
Middle Name:MONIQUE
Last Name:UNDERHILL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 BRITANNIA CT
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94591-7000
Mailing Address - Country:US
Mailing Address - Phone:707-552-3453
Mailing Address - Fax:
Practice Address - Street 1:140 BRITANNIA CT
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94591-7000
Practice Address - Country:US
Practice Address - Phone:707-552-3453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator