Jennilyn Banal, PMHNP | |
14860 Roscoe Blvd Ste 304, Panorama City, CA 91402-4695 | |
(747) 998-0387 | |
Not Available |
Full Name | Jennilyn Banal |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 14860 Roscoe Blvd Ste 304, Panorama City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386315729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95018066 (California) | Primary |
Entity Name | California Care Wellness Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447874516 PECOS PAC ID: 2264856236 Enrollment ID: O20200723000732 |
Entity Name | Myndfull Care Management California Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770206435 PECOS PAC ID: 4981070893 Enrollment ID: O20221018002310 |
Entity Name | Geri Connection |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447976907 PECOS PAC ID: 0446629059 Enrollment ID: O20221202001861 |
Entity Name | Myndfull Care California Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912699703 PECOS PAC ID: 1557717238 Enrollment ID: O20231101001710 |
Mailing Address | Practice Location Address |
---|---|
Jennilyn Banal, PMHNP 908 Correa Ln, Spring Valley, CA 91977-6524 Ph: (619) 957-7830 | Jennilyn Banal, PMHNP 14860 Roscoe Blvd Ste 304, Panorama City, CA 91402-4695 Ph: (747) 998-0387 |
Gloria S Tongson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Tina J Woolfork, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Ms. Tenika Nettles, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9618 Van Nuys Blvd Apt 106, Panorama City, CA 91402 Phone: 323-684-4577 | |
Mary Bernadette Acuna Coburn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Hilda Berenice Jacobo, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8727 Van Nuys Blvd, Panorama City, CA 91402 Phone: 818-899-5555 | |
Sharon M Poncher, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Velda C Mowry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 |