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MS. JENNIFER RUTH PETTIBONE RN
NPI 1003004474
Registered Nurse - Psychiatric/Mental Health in Fairfield, CA

Active since October 10, 2007
2101 COURAGE DR, MS-10-200, FAIRFIELD, CA 94533(707) 784-2154 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jennifer Ruth Pettibone Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JENNIFER RUTH PETTIBONE RN (NPI 1003004474) is an individual psychiatric/mental health provider in Fairfield, California, licensed in California (464317) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1003004474
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameMS. JENNIFER RUTH PETTIBONECredential: RN
Location Address2101 COURAGE DR, MS-10-200Fairfield, CA 94533-6717
Mailing Address1048 2nd St Apt 6Novato, CA 94945-2439 · (415) 897-1899
Phone(707) 784-2154
Sole ProprietorNo
Enumeration DateOctober 10, 2007
✔ NPI 1003004474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in CA · 464317
2101 COURAGE DR, Fairfield, CA 94533
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALISSA BLAIR RN
Registered Nurse
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 750-3000
ALISON LEGLER-HAUCK RN
Registered Nurse (Psychiatric/Mental Health)
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 639-4675
STEVEN MICHAEL ROCHA LVN
Licensed Vocational Nurse
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (530) 902-6636
CHELSEA M KENNEDY
Adult Companion
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 784-2057
ROSANNA POLANCO-FIERRO ASW
Social Worker (Clinical)
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 784-3011
CRISSADHEL DUPA LVN
Licensed Vocational Nurse
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 428-1131
CYNDI CAROL SMIT LMFT
Marriage & Family Therapist
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 784-2224
MS. MELANIE DAWN COOK MFT
Marriage & Family Therapist
2101 COURAGE DR
FAIRFIELD, CA 94533
Solano County (707) 784-2152

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Pettibone's NPI number?

The NPI number for Jennifer Pettibone is 1003004474. It was assigned to this individual provider in the NPPES registry on October 10, 2007.

Where is Jennifer Pettibone located?

Jennifer Pettibone practices at 2101 Courage Dr Ms-10-200, Fairfield, CA 94533. The listed phone number is (707) 784-2154.

What is Jennifer Pettibone's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

When was this NPI record last updated?

The NPPES record for Jennifer Pettibone was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.