JENNIFER LYNNE DETISCH

Address: 1000 Vale Terrace Dr, Vista, CA 92084-5218
Phone: 7606315000

JENNIFER LYNNE DETISCH (NPI# 1730215534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730215534
Entity Type 1 - Individual
Full Name JENNIFER LYNNE DETISCH
Credential NP
Practice Address 1000 Vale Terrace Dr
Vista
CA 92084-5218
Practice Telephone 7606315000
Practice Fax Number 7604143713
Enumeration Date 02/26/2007
Last Update Date 08/04/2010
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
16773 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1000 VALE TERRACE DR
City VISTA
State CA
Zip Code 92084-5218

Providers with the same location

NPI Name Address
1770575888 DEBRA S EDSON 1000 Vale Terrace Dr, Vista, CA 92084-5218
1851386080 DR. CHRISTOPHER PUDOL 1000 Vale Terrace Dr, Vista, CA 92084-5218
1457340200 VICTOR SOUZA 1000 Vale Terrace Dr, Vista, CA 92084-5218
1225017353 DR. KEVIN JOHN RONAN 1000 Vale Terrace Dr, Vista, CA 92084-5218
1043281405 MARIA C QUAN 1000 Vale Terrace Dr, Vista, CA 92084-5218
1417929191 ORNA GIL 1000 Vale Terrace Dr, Vista, CA 92084-5218
1124090873 MS. EILEEN C GRASS 1000 Vale Terrace Dr, Vista, CA 92084-5218
1477520302 DR. JOHN FORBES GARRETSON 1000 Vale Terrace Dr, Vista, CA 92084-5218
1972579910 DONALD LIM ONG 1000 Vale Terrace Dr, Vista, CA 92084-5218
1235192691 CHRISTOS ANDREAS KARANIKKIS 1000 Vale Terrace Dr, Vista, CA 92084-5218

Competitor

Search similar physicians

City VISTA
Zip Code 92084

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.