JENNY PHAN
Nurse Practitioner - Family
Active
Individual
NPI: 1871013383
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 95008848 (CA) |
| Registered Nurse | 163W00000X | No | 95129331 (CA) |
Frequently Asked Questions
NPI 1871013383 is the National Provider Identifier for JENNY PHAN, a Nurse Practitioner - Family provider located in Oakland, CA. This NPI was enumerated on June 26, 2017.
JENNY PHAN practices at 510 17TH ST, Oakland, CA 94612.
Quick Facts
- NPI
- 1871013383
- Type
- Individual
- Enumerated
- Jun 26, 2017
- Last Updated
- Oct 15, 2025
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MISS ALICIA PARKER
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