Most Relevant Information
Provider Data
| NPI Number: | 1003501941 |
| Provider Name: | JENNIFER RUBY LYNN FRIES NNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LN0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95024503 |
Most Important Dates
| Enumeration Date: | 04/06/2023 |
| Last Updated: | 04/06/2023 |
Provider Practice Location
1500 OWENS ST
SAN FRANCISCO
CA
941582334
Practice Location Phone/Fax
| Phone: | 4154761000 |
| Fax: |
Provider Mailing Location
377 WHIRLAWAY DR
SAN JOSE
CA
951112847
Provider Mailing Phone/Fax
| Phone: | 9105848387 |
| Fax: |