Provider Demographics
NPI:1902830086
Name:SANTOS, JENNIFER RAMOS (NP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:RAMOS
Last Name:SANTOS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 25880
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93729-5880
Mailing Address - Country:US
Mailing Address - Phone:559-431-8900
Mailing Address - Fax:559-431-4367
Practice Address - Street 1:6069 N FIRST ST
Practice Address - Street 2:STE 103
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710
Practice Address - Country:US
Practice Address - Phone:559-431-8900
Practice Address - Fax:559-431-4367
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15891363L00000X
CA593688163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Not Answered163W00000XNursing Service ProvidersRegistered Nurse