Provider Demographics
NPI:1548634520
Name:TRAN, JENNIFER (NP, CNS, MSN, PHD)
Entity type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:NP, CNS, MSN, PHD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:20054 HAWTHORNE BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-1518
Mailing Address - Country:US
Mailing Address - Phone:626-355-3443
Mailing Address - Fax:626-355-7843
Practice Address - Street 1:147 W SIERRA MADRE BLVD
Practice Address - Street 2:
Practice Address - City:SIERRA MADRE
Practice Address - State:CA
Practice Address - Zip Code:91024-2492
Practice Address - Country:US
Practice Address - Phone:626-355-3443
Practice Address - Fax:626-355-7843
Is Sole Proprietor?:No
Enumeration Date:2015-11-13
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA811320163W00000X
CA4202364SA2200X
CA95003271363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health