Jennifer N Despres, CNM, NP | |
975 Sereno Dr, Vallejo, CA 94589-2441 | |
(707) 651-1000 | |
Not Available |
Full Name | Jennifer N Despres |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 975 Sereno Dr, Vallejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821129818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | NMW1701 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Jennifer N Despres, CNM, NP 1731 Coleman St, Napa, CA 94559-1724 Ph: (707) 254-7935 | Jennifer N Despres, CNM, NP 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-1000 |
Sarah Hark Sun Hamburger, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 210 Hospital Dr, Vallejo, CA 94589 Phone: 707-645-7316 | |
Anne Tracy Vosler, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Kaiser Permanente, Dept Of Ob/gyn, Vallejo, CA 94589 Phone: 707-651-2323 | |
Ms. Katherine Ann Stafford, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-2323 | |
Lisa Davis, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 120 Trident Ct, Vallejo, CA 94591 Phone: 510-862-9134 |