Provider Demographics
NPI:1700079019
Name:INAURA, JANE CATHY (NP)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:CATHY
Last Name:INAURA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 BARRINGTON CT
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-6872
Mailing Address - Country:US
Mailing Address - Phone:707-864-3431
Mailing Address - Fax:510-242-5428
Practice Address - Street 1:841 CHEVRON WAY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94801-2007
Practice Address - Country:US
Practice Address - Phone:510-242-3032
Practice Address - Fax:510-242-5428
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA253608363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health