JENNIFER PETTIBONE NPI 1003004474

Registered Nurse (Psych/Mental Health)

MS. JENNIFER RUTH PETTIBONE RN

Jennifer Pettibone is a registered nurse in Fairfield, CA. Jennifer Pettibone NPI is 1003004474. The provider's taxonomy code is 163WP0808X - Registered Nurse.

Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. License State Is Primary?
1163WP0808X Additional informationCallout TooltipTaxonomy Code - 163WP0808X


Nursing Service ProvidersRegistered NursePsych/Mental Health464317CAYes

Map Location


MS. JENNIFER RUTH PETTIBONE RN address is 2101 COURAGE DR MS-10-200 FAIRFIELD, CA 94533 Get Directions