Most Relevant Information
Provider Data
| NPI Number: | 1003390519 |
| Provider Name: | JENNIFER LE RN, NP |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 217526 |
Most Important Dates
| Enumeration Date: | 09/20/2018 |
| Last Updated: | 12/12/2018 |
Provider Practice Location
49-111 CA-111 #6A
COACHELLA
CA
92236
Practice Location Phone/Fax
| Phone: | 8887437526 |
| Fax: |
Provider Mailing Location
45210 PANORAMA DR APT 3
PALM DESERT
CA
922604401
Provider Mailing Phone/Fax
| Phone: | 6194714799 |
| Fax: |