MS. Jennifer Ruth Pettibone, RN
NPI #1003004474 in Fairfield, California
Provider Information
- NPI Number
- 1003004474
- Entity Type
- Individual
- Name
- MS. Jennifer Ruth Pettibone, RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Psychiatric/Mental Health
- Credential
- RN
- Enumeration Date
- Oct 10, 2007
- Last Updated
- Oct 10, 2007
Practice Location
- Address
- 2101 COURAGE DR
- Address 2
- MS-10-200
- City
- Fairfield
- State
- California
- ZIP Code
- 94533-6717
- Phone
- (707) 784-2154
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Psychiatric/Mental Health — Psychiatric/Mental Health |
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