Basic Information
| Provider Information | |||||||||
| NPI: | 1730277393 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SANCHEZ | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | C | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 INDEPENDENCE CIR | ||||||||
| Address2: | |||||||||
| City: | CHICO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959730258 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5308992107 | ||||||||
| FaxNumber: | 5308990142 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 INDEPENDENCE CIR | ||||||||
| Address2: | |||||||||
| City: | CHICO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959730258 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5308992107 | ||||||||
| FaxNumber: | 5308990142 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/10/2006 | ||||||||
| LastUpdateDate: | 03/22/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 14960 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | 14960 | 01 | CA | NURSE PRACTITIONER | OTHER |