Provider Demographics
NPI:1356617153
Name:SEITHER, JENNIFER G (NP-C)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:G
Last Name:SEITHER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 WELCH RD
Mailing Address - Street 2:100
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1811
Mailing Address - Country:US
Mailing Address - Phone:650-723-7001
Mailing Address - Fax:650-725-5223
Practice Address - Street 1:1000 WELCH RD
Practice Address - Street 2:100
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1811
Practice Address - Country:US
Practice Address - Phone:650-723-7001
Practice Address - Fax:650-725-5223
Is Sole Proprietor?:No
Enumeration Date:2012-03-26
Last Update Date:2013-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22711363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily