Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER TA, CPNP
Active Sole ProprietorJENNIFER TA, CPNP is a Pediatric Nurse Practitioner healthcare provider located in LOMPOC, California. NPI 1790035046 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · LOMPOC, CA
Registration Details
- NPI Number
- 1790035046
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2012 (13.919735789667 yrs)
- Last Updated
- Mar 30, 2020
- Licenses
-
19921 (CA)19921 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
338 S DAKOTA AVE BLDG 13850LOMPOC, CA, 934376307Browse CA providers · Browse ZIP 93437
- Phone
- 8056062273
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
Other Pediatric Nurse Practitioner Providers in LOMPOC, CA
| Name | Credential | NPI |
|---|---|---|
| RANI K FALCONER | RN NP | 1174629984 |
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.