Jennifer Elaine Ezero, RN
Registered Nurse in Clayton, CA. Individual provider (NPI-1).
NPI number1497476972
StatusActive
Last updated in NPPESSep 5, 2022
Details
- NPI
- 1497476972
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jennifer Elaine Ezero
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2022
- Certification date
- Sep 3, 2022
- Last updated
- Sep 5, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 813469 | CA | Yes |
| 163WC0200X | Registered Nurse, Critical Care Medicine | 813469 | CA |
Other names
- Jennifer Elaine Fenner (Former Name)
Practice location
430 Meadow View LnClayton, CA 94517-9775
Phone 925-381-3715
Mailing address
430 Meadow View LnClayton, CA 94517-9775
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Registered Nurse providers in Clayton, CA
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