Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER MIRANDA VICENTE, NP
ActiveJENNIFER MIRANDA VICENTE, NP is a Adult Health Nurse Practitioner healthcare provider located in LAKEWOOD, California. NPI 1235522483 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · LAKEWOOD, CA
Registration Details
- NPI Number
- 1235522483
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2015 (11.462965887585 yrs)
- Last Updated
- Mar 12, 2015
- Licenses
-
NP95002008 (CA)NP95002008 (CA)
Practice Information
- Address
-
3300 E SOUTH ST STE 205LAKEWOOD, CA, 908054587Browse CA providers · Browse ZIP 90805
- Phone
- 5625310377
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Gerontological Nurse Practitioner
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.