Provider Demographics
NPI:1245526367
Name:SALLEE, JENEE N (NP)
Entity type:Individual
Prefix:
First Name:JENEE
Middle Name:N
Last Name:SALLEE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2185 PACHECO ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-2309
Mailing Address - Country:US
Mailing Address - Phone:925-676-0505
Mailing Address - Fax:925-676-2814
Practice Address - Street 1:3715 RAILROAD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-5236
Practice Address - Country:US
Practice Address - Phone:925-439-1237
Practice Address - Fax:925-439-8974
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANP20663363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner