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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JENNIFER RUTH PETTIBONE, RN

Active

MS. JENNIFER RUTH PETTIBONE, RN is a Child & Adolescent Psychiatric Nurse healthcare provider located in FAIRFIELD, California. NPI 1003004474 is currently active in the NPPES registry. Verify at CMS.

Child & Adolescent Psychiatric Nurse · FAIRFIELD, CA

Registration Details

NPI Number
1003004474
Provider Type
Individual
Gender
Female
NPI Issued
Oct 10, 2007 (18.824058173074 yrs)
Last Updated
Oct 10, 2007
License
464317 (CA)

Practice Information

Address
2101 COURAGE DR
MS-10-200
FAIRFIELD, CA, 945336717
Browse CA providers · Browse ZIP 94533
Phone
7077842154
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X

Other Child & Adolescent Psychiatric Nurse Providers in FAIRFIELD, CA

Name Credential NPI
ANNA MARY TOTH R.N. 1326109950
MS. SUELYN MARY ANHALT RN 1841352135
MRS. KERSTIN KOHN RN 1932261724
RITA GAIL JONES RN 1376605048
LUISA CALACSAN 1053502500
ARMI SANCHEZ CALDERON RN 1255692109
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.