Individual provider · NPI-1

Jennifer Le, NP

Nurse Practitioner, Family · Roseville, CA

NPI number1871743542

StatusActive

Last updated in NPPESJul 6, 2022

Details

NPI: 1871743542
Entity type: Individual (NPI-1)
Name: Mrs. Jennifer Le
Credential: NP
Sex: Female
Sole proprietor: No
Enumeration date: Sep 30, 2008
Certification date: Jul 6, 2022
Last updated: Jul 6, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	16470	CA	Yes
163WD0400X	Registered Nurse, Diabetes Educator	583769	CA

Other names

Jennifer Tobias (Other Name)

Practice location

1600 Eureka Rd
Roseville, CA 95661-3027

Phone 916-784-4048

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Phone 559-443-2682 · Fax 559-443-2681

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